Christyn M. Grant, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005688 Issued in NC

Practice address

1400 Willow LN
North Wilkesboro, NC 28659-3551

Phone

(336) 667-5151

Fax

(336) 667-5048

NPI assigned

Mar 14, 2007

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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cgrant675590@direct.unc.nchie.net

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.

• New River Service Authority

  • Community/Behavioral Health Agency
  • Lenoir, NC
  • NPI 1659532562
  NPD (past)
• New River Service Authority

  • Foster Care Agency
  • Boone, NC
  • NPI 1720360944
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1992838221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 MULBERRY ST SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455722",
            "telephone_number": "828-394-6720",
            "fax_number": "828-394-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WILLOW LN",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593551",
            "telephone_number": "336-667-5151",
            "fax_number": "336-667-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "CHRISTYN",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106729",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "C005688",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgrant675590@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "407 Mulberry St SW",
            "city": "Lenoir",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286455722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark James Glanzer, D.C.
• Whitney Allen Goering, M.D.
• Goodman Care Inc.
• Goodman Care Inc.
• Heather Goodwyn, CRNA
• Graystone Ophthalmology Associates, PA
• Eric Lane Greer, LPTA
• Darlene P. Grit, RN
• Linda Loretta Grob
• Brittany Myers Habershaw, PA-C

• Clinical Social Worker in North Wilkesboro, NC
• Providers in North Wilkesboro, 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 Dec 16, 2021; 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.