Provider Type Icon

GRASSROOTS THERAPY GROUP NPI 1215379086


NPI Information

NPI: 1215379086
Provider Name: GRASSROOTS THERAPY GROUP
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
N 1212 WASHINGTON
SUITE 204
SPOKANE, WA
ZIP 99201
Phone: (509) 279-8838
Get Directions

GRASSROOTS THERAPY GROUP is a clinical social worker in Spokane, WA. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. GRASSROOTS THERAPY GROUP NPI is 1215379086. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

N 1212 WASHINGTON
SUITE 204
SPOKANE, WA
ZIP 99201
Phone: (509) 279-8838
Fax: (509) 267-2717

The provider's authorized official is Lori Eastep .
The authorized official title is Partner/therapist and has the following contact phone number (509) 279-8838.

The enumeration date for this NPI number is 7/22/2013 and was last updated on 4/1/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalLW00008611WASHINGTONNo
21041C0700XSocial WorkerClinicalLW60185885WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12041796MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.