Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Connor Blair Grogan

Individual provider Clinical Social Worker · NPI 1669196978

Connor Blair Grogan is a Clinical Social Worker in Greeley, Colorado. Qualified in 2022, 4 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
4
Licensed in
CO
In the registry since
2022
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Practice location Address checks out

7251 W 20th St Unit C
Greeley, CO 80634-4626
Phone: (970) 347-2120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW.09932276 (CO)

Record details

NPI number1669196978
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 29, 2022
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025
Mailing address1300 N 17th Ave, Greeley, CO 80631-9584

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Greeley