Provider Demographics
NPI:1073591749
Name:GROH, DANA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:
Last Name:GROH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8823 IMPERIAL CROSS
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-3658
Mailing Address - Country:US
Mailing Address - Phone:513-280-1954
Mailing Address - Fax:
Practice Address - Street 1:325 E SONTERRA BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4054
Practice Address - Country:US
Practice Address - Phone:210-439-8887
Practice Address - Fax:210-545-6869
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-04
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX551061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical