Provider Demographics
NPI:1538945928
Name:GROSS, GABRIELLE TAYLOR (LMSW)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:TAYLOR
Last Name:GROSS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:GABRIELLE
Other - Middle Name:TAYLOR
Other - Last Name:GROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:6430 ROCKLEDGE DR STE 500
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1886
Mailing Address - Country:US
Mailing Address - Phone:301-562-8448
Mailing Address - Fax:877-250-1841
Practice Address - Street 1:6430 ROCKLEDGE DR STE 500
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1886
Practice Address - Country:US
Practice Address - Phone:301-562-8448
Practice Address - Fax:877-250-1841
Is Sole Proprietor?:No
Enumeration Date:2023-09-01
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06713600104100000X
MD27623104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker