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NPI Code Detail

MEDICARE: ANDREW GROSSMAN LSW

MEDICARE: ANDREW GROSSMAN LSW
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 WorkerSW124528PA

General Provider Information

NPI Number : 1477400638
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW GROSSMAN LSW
Provider Business Mailing Address
First Line : 1176 MORGAN HILL DR
Second Line :
City : PENNSBURG
State : PA
Zip : 18073-1128
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1919 COTTMAN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19111-3816
Country : US
Telephone Number : 267-350-4727
Fax Number : 215-745-6511
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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