Christine A Grullon, CMSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P021881 Issued in NC

Practice address

1880 N Broad St
Fuquay Varina, NC 27526-3657

Phone

(919) 557-8222

NPI assigned

Apr 24, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Southern Wake Counseling Center

  • Mental Health Counselor
  • Fuquay Varina, NC
  • NPI 1356596720
  NPD

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1740077460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 KYLEMAYNE CT",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275265586",
            "telephone_number": "973-919-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 N BROAD ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275263657",
            "telephone_number": "919-557-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRULLON",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "credential": "CMSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Grillo, LMBT
• Shea Gronlund
• Jessica Groom
• Mariluz Franchezka Grote
• Leah Marie Gruber, PA-C
• Trudy Gullette
• Teressa Gordon Haddon, PHARMD
• Damin Jon Hadorn, PSYD
• Rebecca Ann Halbeisen
• Alyssa Danielle Hall

• Clinical Social Worker in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Clinical Social Worker in North Carolina

• 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.