Individual provider · Type 1 NPI

Jon Birdell Grossman, M.S.W.

Clinical Social Worker · Phoenix, AZ

NPI number 1164575486 Active

Practice location

1300 N 12th St Ste 550
Phoenix, AZ 85006-2820

Fax (480) 609-9552

Mailing address

5929 E Charter Oak Rd
Scottsdale, AZ 85254-4348

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XLMFT0182 (AZ)
Clinical Social Worker Primary 1041C0700XLCSW0754 (AZ)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1164575486

Jon Birdell Grossman, M.S.W.'s National Provider Identifier is 1164575486, issued on Jan 19, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 30, 2023.