Active NPI
Jason L Griner, LCSW
- Clinical Social Worker
- Valdosta, GA
National Provider Identifier
1497146641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW004162
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason L Griner LCSW PC | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.