GROW AND GLOW BEHAVIORAL HEALTH LLC
NPI 1669251088
Social Worker - Clinical in Brandon, FL

Active since September 25, 2023
710 OAKFIELD DR STE 221, BRANDON, FL 33511(813) 701-8161(813) 336-8763 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 23, 2026, Mar 23, 2026, Dec 18, 2024 and 1 more (4 updates tracked since 2023).

About Grow And Glow Behavioral Health Llc NPPES

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

GROW AND GLOW BEHAVIORAL HEALTH LLC (NPI 1669251088) is a healthcare organization registered as a clinical in Brandon, Florida and active in the NPI registry since September 2023. The organization maintains 2 additional practice locations and lists Blair-tiffany Mccormick, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669251088
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameGROW AND GLOW BEHAVIORAL HEALTH LLC
Location Address710 OAKFIELD DR STE 221Brandon, FL 33511-4924
Mailing Address11001 Golden Silence DrRiverview, FL 33579-2341 · (305) 494-2843
Fax(813) 336-8763
Organization SubpartNo
Authorized OfficialBlair-tiffany MccormickCeo · (813) 701-8161
Enumeration DateSeptember 25, 2023
Last NPPES UpdateApril 23, 20264 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1669251088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
710 OAKFIELD DR STE 221, Brandon, FL 33511

Secondary Practice Locations 2

Location 1290 N Idlewood AveBartow, FL 33830-4246 · Phone (813) 701-8161
Location 212 E Grove AveLake Wales, FL 33853-4760 · Phone (813) 701-8161

Other Identifiers 1

Medicaid121009900FL

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grow And Glow Behavioral Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Grow And Glow Behavioral Health LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Social Worker
NPI 1093324790
710 OAKFIELD DR STE 221
Brandon, FL 33511
(305) 494-2843
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1467902908
12324 GILMERTON MIST LN
Riverview, FL 33579
(813) 471-8142
✔ PECOS✔ Accepts Medicare8.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Grow And Glow Behavioral Health LLC's NPI number?

The NPI number for Grow And Glow Behavioral Health LLC is 1669251088. It was assigned to this organization in the NPPES registry on September 25, 2023.

Where is Grow And Glow Behavioral Health LLC located?

Grow And Glow Behavioral Health LLC is located at 710 Oakfield Dr Ste 221, Brandon, FL 33511. The listed phone number is (813) 701-8161.

What is Grow And Glow Behavioral Health LLC's specialty?

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

Is Grow And Glow Behavioral Health LLC enrolled in Medicare?

Yes. Grow And Glow Behavioral Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grow And Glow Behavioral Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Grow And Glow Behavioral Health LLC, in Clinical Social Worker and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Grow And Glow Behavioral Health LLC was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.