EXTASY GRINN, LCSW, CAP. ICADC
Social Worker - Clinical
Active
Individual
NPI: 1124534912
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | ADC-003288-2014 (FL) |
| Social Worker | 104100000X | No | 7341 (TN) |
| Social Worker - Clinical | 1041C0700X | Yes | 7341 (TN) |
Frequently Asked Questions
NPI 1124534912 is the National Provider Identifier for EXTASY GRINN, LCSW, CAP. ICADC, a Social Worker - Clinical provider located in Maryville, TN. This NPI was enumerated on December 16, 2017.
EXTASY GRINN, LCSW, CAP. ICADC practices at 2030 CHILHOWEE MEDICAL PARK, Maryville, TN 37804.
Quick Facts
- NPI
- 1124534912
- Type
- Individual
- Enumerated
- Dec 16, 2017
- Last Updated
- Jul 9, 2025
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