Kourteney Grimes
Individual provider Active NPI Clinical Social Worker · Nashville, IN
NPI 1629949359 · NPPES record last updated Sep 16, 2025
Key facts
- NPI
- 1629949359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34012184A (IN)
- Practice address
- 1156 Old State Road 46
Nashville, IN 47448-9211 - Phone
- (812) 988-2258
- NPI assigned
- Sep 16, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
645 S Rogers St
Bloomington, IN 47403-2353
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250923003042 | IN | Practitioner - Clinical Social Worker | 7416452370 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerstone of Indiana, Inc. | Current |
Accepting new patients | |
| Centerstone of Indiana, Inc. | Current |
Accepting new patients |
Locations
645 S Rogers St
Bloomington, IN 47403
Phone (812) 339-1691
720 N Marr Rd
Columbus, IN 47201
Phone (812) 314-3400
1156 Old State Road 46
Nashville, IN 47448
Phone (812) 988-2258
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34012184A | IN | Yes |
Addresses
Primary practice location
1156 Old State Road 46
Nashville, IN 47448-9211
Mailing address
645 S Rogers St
Bloomington, IN 47403-2353
Other providers in Nashville, IN
- David J Gerchak
- Dalton Gibbs
- Angela N Goeppner
- Gootee Vision Center, LLC
- Wendi Gore
- Teresa A Harden
- Jaclyn L Hardin
- Rachael Hayes
- Marilyn Patricia Haywood
- Carol R Hedin
All providers in Nashville, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.