Patrick Alan Grilliot, LSW, CDCA

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.2106161 Issued in OH

Practice address

1229 Lincoln Hwy
Van Wert, OH 45891-1877

Phone

(419) 238-1695

NPI assigned

Feb 25, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• The Marsh Foundation

  • Community/Behavioral Health Agency
  • Van Wert, OH
  • NPI 1912987371
  NPD

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1275167645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 LINCOLN HWY",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458911877",
            "telephone_number": "419-238-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 LINCOLN HWY",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458911877",
            "telephone_number": "419-238-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRILLIOT",
        "first_name": "PATRICK",
        "middle_name": "ALAN",
        "credential": "LSW, CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-25",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.176637",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2106161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Lake Podiatry Inc
• Anthony W. Greutman, LSW, LICDC
• Marjorie Greve
• Sydney N Grieser
• Natalie Griffiths
• Sherry Grone, QMHS
• Douglas Grooms, NCSP
• Kelly Gross, LISW
• Madison N Hagaman
• Melanie Marie Halker

• Social Worker in Van Wert, OH
• Providers in Van Wert, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.