Grote, Douglas V.

Grote, Douglas V. is an sole proprietor health care provider with primary practice located at 15 Franklin St , Greenfield MA 01301-2912. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Grote, Douglas V. can be contacted via phone (413) 774-2704.

Contact Information

Primary practice address
15 Franklin St Greenfield MA 01301-2912
Phone: (413) 774-2704
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0893AL Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1030868 Massachusetts

Profile Details

NPI number 1205840246
LBN Legal business name Grote, Douglas V.
Credentials LICSW CADAC-II
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Nov 26th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205840246 NPPES
Massachusetts MEDICAID 1857380

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