Individual provider Active NPI

Jason L Griner, LCSW

  • Clinical Social Worker
  • Valdosta, GA
National Provider Identifier
1497146641
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004162 Issued in GA
Practice address
2914 N Oak St
Valdosta, GA 31602-1718
Phone
(229) 333-0300
Fax
(229) 333-0306
NPI assigned
Feb 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW004162 GA Primary

Addresses

Primary practice location

2914 N Oak St
Valdosta, GA 31602-1718

Mailing address

2914 N Oak St
Valdosta, GA 31602-1718
Phone (229) 333-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150414001473 GA Practitioner - Clinical Social Worker 9133447675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2310 N Patterson St
BLDG H
Valdosta, GA 31602-2500
Phone (229) 333-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jason L Griner LCSW PC Clinical CurrentSince Sep 10, 2020 Accepting new patients

Locations

2914 N Oak St
Valdosta, GA 31602
Phone (229) 333-0300

2310 N Patterson St
Bldg H
Valdosta, GA 31602
Phone (229) 333-0300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1497146641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 N OAK ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021718",
            "telephone_number": "229-333-0300",
            "fax_number": "229-333-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 N OAK ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021718",
            "telephone_number": "229-333-0300",
            "fax_number": "229-333-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINER",
        "first_name": "JASON",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-10",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.