Active NPIIndividual providerSole proprietor

Samara Grossman, LICSW

Social Worker, Clinical in Chestnut Hill, Massachusetts

NPI Number1487910436
Practice location
850 Boylston St, Chestnut Hill, MA 02467-2477
Fax
—
Last updated
March 7, 2017

Samara Grossman is a Social Worker, Clinical based in Chestnut Hill, MA. Samara Grossman practices in Chestnut Hill, MA and has the professional credentials of LICSW. The NPI Number for Samara Grossman is 1487910436 and holds a License No. 114873 (MA). The current practice location address for Samara Grossman is 850 Boylston St, Chestnut Hill, MA 02467-2477 and can be reached out via phone at 617-524-1120.

Provider Profile Details

NPI Number
1487910436
Provider Name
Samara Grossman
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
850 Boylston St, Chestnut Hill, MA 02467-2477
Phone Number
617-524-1120
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
April 4, 2012
Last Update Date
March 7, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
850 Boylston St
Chestnut Hill, MA 02467-2477
Zip
02467-2477
Phone Number
617-524-1120
Chestnut Hill, MA 02467Get directions →

Provider Business Mailing Address Details

Address
850 Boylston St
Chestnut Hill, MA 02467-2477
City
Chestnut Hill
State
MA
Zip
02467-2477
Phone Number
617-524-1120

License Information

License Number
114873
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

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 Samara Grossman, LICSW?

The NPI number of Samara Grossman, LICSW is 1487910436. It was assigned on April 4, 2012 and is currently active in the NPPES registry.

What is the specialty of Samara Grossman, LICSW?

Samara Grossman, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 114873.

Where does Samara Grossman, LICSW practice?

The practice location is 850 Boylston St, Chestnut Hill, MA 02467-2477. The office can be reached at 617-524-1120 (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 1487910436 directly on the NPPES registry website.

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