EMILY GROSSMANN – Clinical Social Worker, NPI 1578290912

EMILY GROSSMANN is a healthcare provider. based in Red bud, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 149024700 (IL). The NPI Number for EMILY GROSSMANN is 1578290912

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
EMILY GROSSMANN
NPI
1578290912
Phone
Not provided
Address
10257 STATE ROUTE 3
Enumeration Date
5 August 2022
Last Update Date
22 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
61835721875902
Graduation Year
2019 (7 years ago)
PAC ID
9931575800
Group Practice PAC ID
8123921632
Professional Enrollment ID
I20221018000760
Address ID
IL622743342PI5383X154X400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for EMILY GROSSMANN

  • 10257 STATE ROUTE 3

    RED BUD, IL 622784418

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221018000760IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62278)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123921632View full group profile
NameSpecialtyState
-IL
-IL
Emergency Medicine, General SurgeryIL
Nurse PractitionerIL
Physician AssistantIL
Nurse PractitionerIL
Internal MedicineIL
Nurse PractitionerIL
Physician AssistantIL
-IL

Reviews

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Frequently asked questions

What NPI should I save for EMILY GROSSMANN?
Save NPI 1578290912 if you need a stable reference for EMILY GROSSMANN.
Is EMILY GROSSMANN's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does EMILY GROSSMANN list a primary specialty?
If you are matching referrals, note Clinical Social Worker for EMILY GROSSMANN. Clinical services aligned with this taxonomy classification.
Does EMILY GROSSMANN practice in Illinois?
You will see Red Bud, Illinois on file for EMILY GROSSMANN alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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