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ROSA CORMIER GRGURICH LCSW CSOTP NPI 1801870043


NPI Information

NPI: 1801870043
Provider Name: ROSA CORMIER GRGURICH, LCSW, CSOTP
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
289 INDEPENDENCE BLVD
PEMBROKE 3, STE 221
VIRGINIA BEACH, VA
ZIP 23462
Phone: (757) 498-9320
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Rosa Cormier Grgurich, LCSW, CSOTP is a clinical social worker in Virginia Beach, VA. 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. Rosa Cormier Grgurich, LCSW, CSOTP NPI is 1801870043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

289 INDEPENDENCE BLVD
PEMBROKE 3, STE 221
VIRGINIA BEACH, VA
ZIP 23462-493
Phone: (757) 498-9320
Fax: (757) 498-9321

The NPI 1801870043 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/1/2005 and was last updated on 7/8/2007.


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 WorkerClinical0904005827VIRGINIAYes

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
1156353OTHERVIRGINIAANTHEM
2O81167MOTHERVIRGINIASENTARA
3005053T50MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
4249880OTHERVIRGINIACOMPSYCH
5341848OTHERVIRGINIATRICARE/MHN

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: 4/28/2024

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