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AMY CHRISTINE GROSSMAN LICSW
NPI 1104135847
Social Worker - Clinical in Saint Paul, MN

Active since September 29, 2010PECOS Enrolled
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101(612) 298-0322 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amy Christine Grossman Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY CHRISTINE GROSSMAN LICSW (NPI 1104135847) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (17572) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1104135847
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMY CHRISTINE GROSSMANCredential: LICSW
Location Address200 UNIVERSITY AVE ESaint Paul, MN 55101-2507
Mailing Address3934 Westbury TrlEagan, MN 55123-1468 · (612) 298-0322
Phone(612) 298-0322
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 29, 2010
Last NPPES UpdateDecember 12, 2025
NPPES CertifiedDecember 12, 2025
✔ NPI 1104135847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 17572
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
200 UNIVERSITY AVE E, Saint Paul, MN 55101
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Christine Grossman Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658851548
PECOS Enrollment IDI20260218003525
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMILLE FENG
Social Worker (Clinical)
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Ramsey County (651) 312-3169
EMILY MARIE SCHAAF M.D.
Pediatrics (Pediatric Infectious Diseases)
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Ramsey County (651) 578-5258
DANIELLE HARDING PA-C
Physician Assistant
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Ramsey County (651) 290-8707
NATALIE PAULSON RN, CPN
Registered Nurse (Pediatrics)
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Ramsey County (651) 229-3820
STEPHANIE K CAMPBELL
Dietitian, Registered
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Ramsey County (651) 229-3933
BETTY J ONG MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Ramsey County (651) 325-2121
MRS. KIMBERLY FARNHAM RNFA
Registered Nurse (Registered Nurse First Assistant)
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Ramsey County (651) 229-3864
MR. TRENTON CHARLES COOPER DO
Orthopaedic Surgery
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Ramsey County (651) 726-2663

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Grossman's NPI number?

The NPI number for Amy Grossman is 1104135847. It was assigned to this individual provider in the NPPES registry on September 29, 2010.

Where is Amy Grossman located?

Amy Grossman practices at 200 University Ave E, Saint Paul, MN 55101. The listed phone number is (612) 298-0322.

What is Amy Grossman's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Amy Grossman enrolled in Medicare?

Yes. Amy Grossman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Grossman was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.