Randy Coonfield Grant, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11152 Issued in SC

Practice address

701 Grove Rd
Suite 200
Greenville, SC 29605-4210

Phone

(864) 455-8431

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Randy Coonfield Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hospice & Palliative Care of the Blue Ridge Inc

  • Exclusive Provider Organization
  • Spruce Pine, NC
  • NPI 1023084399
  NPD (past)
• New Vistas-Mountain Laurel, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hendersonville, NC
  • NPI 1710937396

  Clinical

  NPD (past)
• Polk County Community Health & Wellness Center, Inc.

  • Medical Physician Assistant
  • Columbus, NC
  • NPI 1194030403
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1043230378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT",
            "address_2": "SUITE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154545",
            "telephone_number": "864-797-6044",
            "fax_number": "864-797-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GROVE RD",
            "address_2": "SUITE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054210",
            "telephone_number": "864-455-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "RANDY",
        "middle_name": "COONFIELD",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003582",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "11152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003044",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDY",
            "last_name": "COONFIELD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meghan Barnes Granger, BCBA
• Heidi Gramling Grant, OTR/L
• Jefferson Grant Jr., LDO
• Lawrence Dale Grant, MD
• Louise Lochrane Grant, M.D.
• Wilease Carletta Grant, MASTER DEGREE IN REH
• Margaret Grappone
• Joanna E. Gratton, DO
• Rebecca Grace Gratton, OTR/L
• Christiana Graunke, MT

• Clinical Social Worker in Greenville, SC
• Providers in Greenville, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.