| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CARRIE BETH GROSE | 1669108601 | 2022-07-30 |
Carrie Beth Grose is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1669108601. Registration indicates Carrie Beth Grose is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Carrie Beth Grose LMSW |
| Practice Office Address | 400 N 32ND ST PHOENIX, AZ US |
| Practice Office Telephone | 6023208120 |
| Mailing Address | 1942 W PORTOBELLO AVE MESA, AZ 852028046 US |
| Business Telephone | 6023208120 |
| Code | Practice | License No State |
|---|---|---|
| 104100000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker Behavioral Health/Substance Abuse/Psychiatry Social Worker Behavioral Health & Social Service Providers | LMSW-20632
AZ |