Active NPI
Abigail Grubbs, LCSW
- Clinical Social Worker
- Kennesaw, GA
National Provider Identifier
1780321448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW008601
- Practice address
- 1690 Stone Village LN NW Ste 622
Kennesaw, GA 30152-7777 - Phone
- (678) 588-2016
- NPI assigned
- May 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW009102 | GA | |
| Clinical Social Worker | 1041C0700X | CSW008601 | GA | Primary |
Addresses
Primary practice location
1690 Stone Village LN NW Ste 622
Kennesaw, GA 30152-7777
Mailing address
897 E Maddox Rd
Griffin, GA 30224-7424
Phone (678) 588-2016
Other practice location 1
897 E Maddox Rd
Griffin, GA 30224-7424
Phone (678) 588-2016
Other names 1
- Miss Abby Grubbs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW009102 | GA | MD | Social Worker |
| CSW008601 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners in Wellness LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Kennesaw, GA
- NPI 1942792346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1780321448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "897 E MADDOX RD",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302247424",
"telephone_number": "678-588-2016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 STONE VILLAGE LN NW STE 622",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301527777",
"telephone_number": "678-588-2016"
}
],
"practiceLocations": [
{
"address_1": "897 E Maddox Rd",
"address_purpose": "LOCATION",
"city": "Griffin",
"state": "GA",
"postal_code": "302247424",
"country_code": "US",
"telephone_number": "678-588-2016",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRUBBS",
"first_name": "ABIGAIL",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-15",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW009102",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW008601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABBY",
"last_name": "GRUBBS",
"prefix": "MISS",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.