Ivy Alyssa Grooms, is a
Social Worker - Clinical based in Rockingham, North Carolina. Ivy Alyssa Grooms is licensed to practice in North Carolina (license number P018463) and her current practice location is
232 E Franklin St, Rockingham, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 817-7417.
NPI number for Ivy Alyssa Grooms is 1619636479 and her current mailing address is 402 Harris Ave, Raeford, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619636479.
Healthcare Provider's Profile
Full Name | Ivy Alyssa Grooms |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 232 E Franklin St, Rockingham, North Carolina |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619636479
- Provider Enumeration Date: 12/09/2021
- Last Update Date: 11/14/2022
Medical Identifiers
Medical identifiers for Ivy Alyssa Grooms such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619636479 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-27726 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | P018463 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivy Alyssa Grooms is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ivy Alyssa Grooms, 402 Harris Ave, Raeford, NC 28376-3112 Ph: (910) 875-5590 | Ivy Alyssa Grooms, 232 E Franklin St, Rockingham, NC 28379-3627 Ph: (910) 817-7417 |
Reviews and Comments