Individual provider · Type 1 NPI

Extasy Grinn, LCSW, CAP. ICADC

Clinical Social Worker · Maryville, TN

NPI number 1124534912 Active

Practice location

2030 Chilhowee Medical Park
Maryville, TN 37804-5285

Call (865) 982-3400 Map

Fax (865) 238-2034

Mailing address

4799 Palmbrooke Cir
West Palm Beach, FL 33417-7534

Other practice locations

  • 4799 Palmbrooke Cir, West Palm Beach, FL 33417-7534 · (561) 876-8751
  • 10133 Sherrill Blvd Ste 220, Knoxville, TN 37932-3775 · (615) 320-1155

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XADC-003288-2014 (FL)
Social Worker 104100000X7341 (TN)
Clinical Social Worker 1041C0700XSW14806 (FL)
Clinical Social Worker Primary 1041C0700X7341 (TN)

Clinical Social Worker: 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 interpers…

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About NPI 1124534912

Extasy Grinn, LCSW, CAP. ICADC's National Provider Identifier is 1124534912, issued on Dec 16, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maryville, TN. The record was last updated on Jul 9, 2025.