| Carol L. Gross, Lcsw, Llc | |
|
5551 N University Dr #202 Coral Springs FL 33067-4651 | |
| (954) 592-0329 | |
| (954) 796-1070 |
| Full Name | Carol L. Gross, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5551 N University Dr, Coral Springs, Florida |
| Authorized Official Name and Position | Carol L. Gross (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9545920329 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol L. Gross, Lcsw, Llc 8705 Nw 29th Dr Coral Springs FL 33065-5328 Ph: (954) 344-9643 | Carol L. Gross, Lcsw, Llc 5551 N University Dr #202 Coral Springs FL 33067-4651 Ph: (954) 592-0329 |
| NPI Number | 1902102403 |
|---|---|
| Provider Enumeration Date | 01/31/2011 |
| Last Update Date | 03/29/2017 |
| Medicare PECOS PAC ID | 8820267636 |
|---|---|
| Medicare Enrollment ID | O20110812000275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902102403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW4487 (Florida) | Primary |
| Provider Name | Carol L Gross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710082417 PECOS PAC ID: 9234297029 Enrollment ID: I20081023000190 |
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