MEDICARE: GABRIELLE TAYLOR GROSS LCSW, LCSW-C

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
1	104100000X	Social Worker	27623	MD
2	104100000X	Social Worker	44SC06417600	NJ

General Provider Information

NPI Number	:	1538945928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLE TAYLOR GROSS LCSW, LCSW-C

Provider Business Mailing Address
First Line	:	514 MILLBURN AVE UNIT 1154
Second Line	:
City	:	SHORT HILLS
State	:	NJ
Zip	:	07078-2508
Country	:	US
Telephone Number	:	443-274-5611
Fax Number	:

Provider Business Practice Location Address
First Line	:	514 MILLBURN AVE UNIT 1154
Second Line	:
City	:	SHORT HILLS
State	:	NJ
Zip	:	07078-2508
Country	:	US
Telephone Number	:	443-274-5611
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2023
Last Update Date	:	02/04/2026

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