Mr Jon Birdell Grossman, MSW is a
Social Worker - Clinical based in Phoenix, Arizona. Mr Jon Birdell Grossman is licensed to practice in Arizona (license number LCSW0754) and his current practice location is
1300 N 12th St Ste 550, Phoenix, Arizona. He can be reached at his office (for appointments etc.) via phone at
(602) 410-6637.
NPI number for Mr Jon Birdell Grossman is 1164575486 and his current mailing address is 5929 E Charter Oak Rd, Scottsdale, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164575486.
Healthcare Provider's Profile
Full Name | Mr Jon Birdell Grossman |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 1300 N 12th St Ste 550, Phoenix, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164575486
- Provider Enumeration Date: 01/19/2007
- Last Update Date: 11/30/2023
Medical Identifiers
Medical identifiers for Mr Jon Birdell Grossman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164575486 | NPI | - | NPPES |
964579 | Other | AZ | AHCCS PROVIDER ID |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | LMFT0182 (Arizona) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW0754 (Arizona) | 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. Mr Jon Birdell Grossman 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 |
Mr Jon Birdell Grossman, MSW 5929 E Charter Oak Rd, Scottsdale, AZ 85254-4348 Ph: (602) 410-6637 | Mr Jon Birdell Grossman, MSW 1300 N 12th St Ste 550, Phoenix, AZ 85006-2820 Ph: (602) 410-6637 |
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