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NPI Code Detail

MEDICARE: MS. LUCIE D. GROSVENOR LCSW

MEDICARE:  MS. LUCIE D. GROSVENOR  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerR044974-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871513036
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LUCIE D. GROSVENOR LCSW
Provider Business Mailing Address
First Line : 199 SAINT JOHN'S PLACE
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-3405
Country : US
Telephone Number : 718-783-6942
Fax Number : 718-783-6942
Provider Business Practice Location Address
First Line : 199 SAINT JOHNS PL
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-3405
Country : US
Telephone Number : 718-783-6942
Fax Number : 718-783-6942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 07/09/2007

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