Steven Granich, DSW
Individual provider Active NPI Clinical Social Worker · Midland, GA
NPI 1710015672 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710015672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 883 (GA)
- Practice address
- 9067 Veterans Pkwy
Midland, GA 31820-3411 - Phone
- (706) 324-7241
- Fax
- (706) 324-0027
- NPI assigned
- Mar 1, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- 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 |
|---|---|---|---|---|
| I20070723000096 | GA | Practitioner - Clinical Social Worker | 6507967486 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 883 | GA | MD | Clinical Neuropsychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 883 | GA | Yes |
Addresses
Primary practice location
9067 Veterans Pkwy
Midland, GA 31820-3411
Mailing address
PO Box 5328
Columbus, GA 31906-0328
Phone (706) 324-7241
Other providers in Midland, GA
- Julia H Franz
- Calandra Freeman
- Alice Ragland Fry
- Casandra Sue Gammage
- Allegra Gassert-Deman
- Elvis Greene
- Haven Community Health
- Airianna Hernandez
- Kristina A Hernandez
- Dana Lee Hess
All providers in Midland, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.