Individual provider · Type 1 NPI

Jeanette Grissom

Clinical Social Worker · Indianapolis, IN

NPI number 1790168599 Active

Practice location

6950 Hillsdale Ct
Indianapolis, IN 46250-2040

Call (317) 621-7740 Map

Fax (317) 621-7608

Mailing address

6626 W 75th Street, Ste 500
Indianapolis, IN 46250-2890

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X87000380A (IN)
Clinical Social Worker Primary 1041C0700X39000273A (IN)

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 1790168599

Jeanette Grissom's National Provider Identifier is 1790168599, issued on Jun 30, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Indianapolis, IN. The record was last updated on Nov 9, 2020.