MRS. JAMIE HANENBAUM GROBAN MSW
NPI 1790385680
Social Worker - Clinical in Bethesda, MD

Active since October 29, 2020Opted out of Medicare · through Jun 17, 2027
4350 E WEST HWY STE 200, BETHESDA, MD 20814(301) 960-4001(301) 970-4002 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 29, 2021, Oct 29, 2020 (2 updates tracked since 2020).

About Mrs. Jamie Hanenbaum Groban Msw NPPES

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

MRS. JAMIE HANENBAUM GROBAN MSW (NPI 1790385680) is an individual clinical provider in Bethesda, Maryland, licensed in Maryland (10204) and active in the NPI registry since October 2020. She has opted out of Medicare through June 17, 2027.

NPPES Registry Identity

NPI1790385680
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JAMIE HANENBAUM GROBANCredential: MSW
Location Address4350 E WEST HWY STE 200Bethesda, MD 20814-4426
Mailing Address4350 E West Hwy Ste 200Bethesda, MD 20814-4426 · (301) 960-4001 · Fax (301) 970-4002
Fax(301) 970-4002
Sole ProprietorYes
Enumeration DateOctober 29, 2020
Last NPPES UpdateSeptember 29, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2021
NPI 1790385680 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 MD · 10204
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.

4350 E WEST HWY STE 200, Bethesda, MD 20814

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Jamie Hanenbaum Groban Msw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 17, 2023 through June 17, 2027.

Opt-Out Effective DateJune 17, 2023
Opt-Out In Effect ThroughJune 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 19

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

Student in an Organized Health Care Education/Training Program
4350 E WEST HWY STE 200
BETHESDA, MD 20814
Social Worker (Clinical)
4350 E WEST HWY STE 200
BETHESDA, MD 20814
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4350 E WEST HWY STE 200
BETHESDA, MD 20814
Psychiatry & Neurology (Psychiatry)
4350 E WEST HWY STE 200
BETHESDA, MD 20814
Social Worker (Clinical)
4350 E WEST HWY STE 200
BETHESDA, MD 20814
Social Worker (Clinical)
4350 E WEST HWY STE 200
BETHESDA, MD 20814
Social Worker (Clinical)
4350 E WEST HWY STE 200
BETHESDA, MD 20814
Nurse Practitioner (Psychiatric/Mental Health)
4350 E WEST HWY STE 200
BETHESDA, MD 20814

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790385680, enumerated as an "individual" on October 29, 2020.

The provider is located at 4350 E WEST HWY STE 200 BETHESDA, MD 20814 and the phone number is (301) 960-4001.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.