Individual provider Active NPI

Angelina Charles Grindon, LCSW LPC

  • Clinical Social Worker
  • Spring, TX
National Provider Identifier
1235277633
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q8839 Issued in TX
Practice address
6823 Cypresswood Dr
Interface Samaritan Counseling Center
Spring, TX 77379
Phone
(281) 376-8006
Fax
(713) 376-8008
NPI assigned
Feb 1, 2007
Last updated
Aug 25, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3803 TX
Clinical Social Worker 1041C0700X Q8839 TX Primary

Addresses

Primary practice location

6823 Cypresswood Dr
Interface Samaritan Counseling Center
Spring, TX 77379

Mailing address

6823 Cypresswood Dr
Interface Samaritan Counseling Center
Spring, TX 77379
Phone (281) 376-8006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3803TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1235277633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6823 CYPRESSWOOD DR",
            "address_2": "INTERFACE SAMARITAN COUNSELING CENTER",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77379",
            "telephone_number": "281-376-8006",
            "fax_number": "713-376-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6823 CYPRESSWOOD DR",
            "address_2": "INTERFACE SAMARITAN COUNSELING CENTER",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77379",
            "telephone_number": "281-376-8006",
            "fax_number": "713-376-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINDON",
        "first_name": "ANGELINA",
        "middle_name": "CHARLES",
        "name_prefix": "Ms.",
        "credential": "LCSW LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "3803",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "Q8839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.