Provider Demographics
NPI:1942350863
Name:GROSSO, HEATHER DROUIN (LICSW)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:DROUIN
Last Name:GROSSO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:HEATHER
Other - Middle Name:ANNE
Other - Last Name:DROUIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:31 OAK RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02324-2337
Mailing Address - Country:US
Mailing Address - Phone:508-965-6582
Mailing Address - Fax:
Practice Address - Street 1:31 OAK RIDGE LN
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02324-2337
Practice Address - Country:US
Practice Address - Phone:508-965-6582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1149481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical