Active NPIIndividual providerSole proprietor

Jordan Gruschow

Social Worker, Clinical in Ridgewood, New Jersey

NPI Number1659155307
Practice location
550 Emker Ter, Ridgewood, NJ 07450-1202
Fax
—
Last updated
August 23, 2023

Jordan Gruschow is a Social Worker, Clinical based in Ridgewood, NJ. Jordan Gruschow practices in Ridgewood, NJ. The NPI Number for Jordan Gruschow is 1659155307 and holds a License No. 37LC00370900 (NJ). The current practice location address for Jordan Gruschow is 550 Emker Ter, Ridgewood, NJ 07450-1202 and can be reached out via phone at 585-415-3631.

Provider Profile Details

NPI Number
1659155307
Provider Name
Jordan Gruschow
Provider Entity Type
Individual
Gender
Female
Address
550 Emker Ter, Ridgewood, NJ 07450-1202
Phone Number
585-415-3631
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 23, 2023
Last Update Date
August 23, 2023
Certification Date
August 23, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
550 Emker Ter
Ridgewood, NJ 07450-1202
Zip
07450-1202
Phone Number
585-415-3631
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
4 Forest Ave Ste 201
Paramus, NJ 07652-5246
City
Paramus
State
NJ
Zip
07652-5246
Phone Number
201-565-2920

License Information

License Number (1)
37LC00370900
License State (1)
NJ
License Number (2)
44SC06232800
License State (2)
NJ
Taxonomy (2)
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 Jordan Gruschow?

The NPI number of Jordan Gruschow is 1659155307. It was assigned on August 23, 2023 and is currently active in the NPPES registry.

What is the specialty of Jordan Gruschow?

Jordan Gruschow is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 37LC00370900.

Where does Jordan Gruschow practice?

The practice location is 550 Emker Ter, Ridgewood, NJ 07450-1202. The office can be reached at 585-415-3631 (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 1659155307 directly on the NPPES registry website.

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