Individual provider Active NPI

Hilda Grindell, LCSW

  • Clinical Social Worker
  • Ellijay, GA
National Provider Identifier
1780136796
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW006109 Issued in GA
Practice address
9 Russell Dr Ste 201
Ellijay, GA 30540-5573
Phone
(762) 233-4869
NPI assigned
Oct 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW14455 FL
Clinical Social Worker 1041C0700X LSW7687 TN
Clinical Social Worker 1041C0700X CSW006109 GA Primary

Addresses

Primary practice location

9 Russell Dr Ste 201
Ellijay, GA 30540-5573

Mailing address

9 Russell Dr Ste 201
East Ellijay, GA 30540-5573
Phone (762) 233-4869

Other practice location 1

630 E Church St
Jasper, GA 30143-1312
Phone (762) 233-4869

Other identifiers 1

IdentifierTypeStateIssuer
019190900MedicaidFL

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
I20210408000843 GA Practitioner - Clinical Social Worker 5395152474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Florida International Univ, College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Family Therapy, LLCGroup PAC ID 5092101410, 2 clinicians

Practice addresses (Care Compare)

630 E Church St
Jasper, GA 30143-1312
Phone (762) 233-4869

630 E Church St
Jasper, GA 30143-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW14455FLMDClinical Social Worker
CSW006109GAMDClinical Social Worker
LSW7687TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
United Family Therapy, LLC Clinical CurrentSince Feb 1, 2022 Accepting new patients
Broward Therapists, PLLC Clinical Past Accepting new patients

Locations

9 Russell Dr
Ste 201
Ellijay, GA 30540
Phone (706) 636-4000

27 S Main St
Jasper, GA 30143
Phone (706) 455-7067

630 E Church St
Jasper, GA 30143
Phone (762) 233-4869

Organizations & group practices 2

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": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1780136796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RUSSELL DR STE 201",
            "city": "EAST ELLIJAY",
            "state": "GA",
            "postal_code": "305405573",
            "telephone_number": "762-233-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RUSSELL DR STE 201",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405573",
            "telephone_number": "762-233-4869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 E Church St",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "GA",
            "postal_code": "301431312",
            "country_code": "US",
            "telephone_number": "762-233-4869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRINDELL",
        "first_name": "HILDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14455",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW7687",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019190900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellijay, GA

Sources for this page

Verify at the official NPI Registry.