Provider Demographics
NPI:1215109624
Name:GROVES, ANNE C (LCSW)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:C
Last Name:GROVES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5230 CARROLL CANYON RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-1778
Mailing Address - Country:US
Mailing Address - Phone:858-243-3139
Mailing Address - Fax:858-457-3142
Practice Address - Street 1:5230 CARROLL CANYON RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-1778
Practice Address - Country:US
Practice Address - Phone:858-243-3139
Practice Address - Fax:858-457-3142
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 63591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical