Mr Jon Birdell Grossman, MSW in Phoenix, AZ - Social Worker

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.

Contact Information

	Mr Jon Birdell Grossman, MSW
	1300 N 12th St Ste 550, Phoenix, AZ 85006-2820
	(602) 410-6637
	(480) 609-9552

Healthcare Provider's Profile

Full Name	Mr Jon Birdell Grossman
Gender	Male
Speciality	Social Worker - Clinical
Location	1300 N 12th St Ste 550, Phoenix, Arizona
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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