Active NPIIndividual provider

Ms. Debra E Grollman, LICSW

Social Worker, Clinical in Worcester, Massachusetts

NPI Number1386656718
Practice location
275 Belmont St, Worcester, MA 01604-1675
Fax
—
Last updated
September 18, 2007

Debra Ellen Grollman is a Social Worker, Clinical based in Worcester, MA. Debra Ellen Grollman practices in Worcester, MA and has the professional credentials of LICSW. The NPI Number for Debra Ellen Grollman is 1386656718 and holds a License No. 1029460 (MA). The current practice location address for Debra Ellen Grollman is 275 Belmont St, Worcester, MA 01604-1675 and can be reached out via phone at 508-421-4527.

Provider Profile Details

NPI Number
1386656718
Provider Name
Debra Ellen Grollman
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
275 Belmont St, Worcester, MA 01604-1675
Phone Number
508-421-4527
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 13, 2006
Last Update Date
September 18, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
275 Belmont St
Worcester, MA 01604-1675
Zip
01604-1675
Phone Number
508-421-4527
Worcester, MA 01604Get directions →

Provider Business Mailing Address Details

Address
275 Belmont St
Worcester, MA 01604-1675
City
Worcester
State
MA
Zip
01604-1675
Phone Number
508-421-4527

License Information

License Number (1)
1029460
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
13347
License State (2)
MD
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Debra E Grollman, LICSW?

The NPI number of Ms. Debra E Grollman, LICSW is 1386656718. It was assigned on August 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Debra E Grollman, LICSW?

Ms. Debra E Grollman, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1029460.

Where does Ms. Debra E Grollman, LICSW practice?

The practice location is 275 Belmont St, Worcester, MA 01604-1675. The office can be reached at 508-421-4527 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386656718 directly on the NPPES registry website.

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