| Eileen Grove, Lcsw, Llc | |
|
7450 Griffin Rd Ste 140 Davie FL 33314-4104 | |
| (954) 501-0363 | |
| Not Available |
| Full Name | Eileen Grove, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7450 Griffin Rd Ste 140, Davie, Florida |
| Authorized Official Name and Position | Eileen N Grove (OWNER) |
| Authorized Official Contact | 9545010363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eileen Grove, Lcsw, Llc 1856 N Nob Hill Rd # 266 Plantation FL 33322-6548 Ph: (954) 501-0363 | Eileen Grove, Lcsw, Llc 7450 Griffin Rd Ste 140 Davie FL 33314-4104 Ph: (954) 501-0363 |
| NPI Number | 1073236048 |
|---|---|
| Provider Enumeration Date | 09/23/2022 |
| Last Update Date | 09/23/2022 |
| Certification Date | 09/23/2022 |
| Medicare PECOS PAC ID | 7113385204 |
|---|---|
| Medicare Enrollment ID | O20230622000115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073236048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Eileen Nancy Grove |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306481213 PECOS PAC ID: 0345666970 Enrollment ID: I20200813001724 |
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