MS. MARY ANN ALEXANDRA GRONCKI


Address: 3 Paoli Plaza, Mary Ann A Groncki Msw Lcsw Suite D, Paoli, PA 19301
Phone: 2152923276

MS. MARY ANN ALEXANDRA GRONCKI (NPI# 1609977404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609977404
Entity Type Individual
Full Name MS. MARY ANN ALEXANDRA GRONCKI
Other Name MS. MARY ANN ALEXANDRA GRONCKI
Credential MSW LCSW
Practice Address 3 Paoli Plaza
Mary Ann A Groncki Msw Lcsw Suite D
Paoli
PA 19301
Mailing Address 713 04 State Road
Mary Ann Groncki
Berwyn
PA 19312
Practice Telephone 2152923276
Mailing Telephone 2152923276
Enumeration Date 2006-09-26
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103T00000X Psychologist CW014618 PA Behavioral Health & Social Service Providers
X 1041C0700X Social Worker
Specialization: Clinical
CW014618 PA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
BCBS PERSONAL CHOICE 2318680000 01
APS 1000067657001 01
AETNA 7902198 01
MHN 206938 01

Office Location

Street Address 3 PAOLI PLAZA
MARY ANN A GRONCKI MSW LCSW SUITE D
City PAOLI
State PA
Zip Code 19301

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588280333 Mary Callery Physical Therapy Assistant 16 Industrial Blvd., Ste. 101, Paoli, PA 19301 2020-06-17
1871097519 Daniel Malloy-good Social Worker 45 Darby Rd Ste E4, Paoli, PA 19301 2018-03-19
1306354774 Patricia Obilo-azandegbe Counselor 30 S Valley Rd Ste 101, Paoli, PA 19301 2018-01-18
1275992877 Jessica Bernard Physical Therapist 40 Darby Rd Ste 1, Paoli, PA 19301 2016-02-11
1730576364 Ushma Sheth Podiatrist 250 W Lancaster Ave Ste 225, Paoli, PA 19301 2015-04-21
1619371432 Miriam Leslie Brewer Physical Therapist 195 W Lancaster Ave #3, Paoli, PA 19301 2014-10-22
1447665393 Matthew Rementer Podiatrist 254 West Lancaster Ave, Paoli, PA 19301 2014-06-29
1720490915 Edward Anthony Romero Surgery 255 W Lancaster Ave Ste 332, Paoli, PA 19301 2014-05-22
1285053421 Jose Ethan Pulido Urology 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 2014-04-15
1093065849 Kathleen M Canfield Physician Assistant 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 2012-09-19
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851688220 Karen U Nolan Psychologist 43 Leopard Road (252 South), Suite 100 - Paoli Executive Green, Paoli, PA 19301-1517 2011-07-06
1558467464 Elisa Marla Lang Psychologist 9 Rollingview Drive, Paoli, PA 19301 2006-09-16
1891745923 Maureen Morison Psychologist 43 Leopard Rd, Paoli Exec. Green II -ste100, Paoli, PA 19301-1552 2006-05-11
1942790639 Rebecca Preiser Psychologist 41 Leopard Rd Ste 304, Paoli, PA 19301-1549 2018-05-17
1609263896 Amanda Miles Psychologist 23 Paoli Pike, Suite 102, Paoli, PA 19301-1852 2015-04-25
1215148556 Esther Susan Schlessinger-mita Psychologist 171 W Lancaster Ave, Suite 3, Paoli, PA 19301-1775 2007-05-25
1992916027 Michael J D'antonio Psychologist 171 W Lancaster Ave, Ste 3, Paoli, PA 19301-1775 2007-05-24
1528287117 William Douglas Morgan Psychologist 63 Chestnut Rd, Paoli, PA 19301-1535 2007-04-24
1659442283 Thomas Whiteman Psychologist 1440 Russell Rd, Paoli, PA 19301-1236 2006-11-13
1376613471 Rhona Kaufman Psychologist 1440 Russell Rd, Paoli, PA 19301-1236 2006-11-08
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City PAOLI
Zip Code 19301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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