Jeremy Gross, LMSW
Social Worker in Bronx, NY. Individual provider (NPI-1).
NPI number1861956757
StatusActive
Last updated in NPPESJan 25, 2019
Details
- NPI
- 1861956757
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jeremy Gross
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 25, 2019
- Last updated
- Jan 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 103195 | NY | Yes |
Practice location
55 Westchester SqBronx, NY 10461-3525
Phone 718-931-4045
Mailing address
2157 Bogart AveBronx, NY 10462-2157
Phone 718-792-1181
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