Active NPI
Hilda Grindell, LCSW
- Clinical Social Worker
- Ellijay, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW006109
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019190900 | Medicaid | FL |
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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW14455 | FL | MD | Clinical Social Worker |
| CSW006109 | GA | MD | Clinical Social Worker |
| LSW7687 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Family Therapy, LLC | Clinical | Current | 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.
-
- Clinical Social Worker
- Jasper, GA
- NPI 1356096218
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.