EXTASY GRINN (LCSW, CAP. ICADC) – Clinical Social Worker, NPI 1124534912
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,376 CLINICAL SOCIAL WORKER in FL
Provider Addresses for EXTASY GRINN (LCSW, CAP. ICADC)
4799 Palmbrooke Cir
West Palm Beach, FL 334177534
Phone: (561) 876-8751
Type: Location
10133 Sherrill Blvd Ste 220
Knoxville, TN 379323775
Phone: (615) 320-1155
Fax: (615) 320-1177
Type: Location
2030 CHILHOWEE MEDICAL PARK
MARYVILLE, TN 378045285
Phone: (865) 982-3400
Fax: (865) 238-2034
Type: Location
4799 PALMBROOKE CIR
WEST PALM BEACH, FL 334177534
Phone: (561) 876-8751
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-12-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221209000468 | I | Clinical Social Worker | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33417)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Clinical Psychologist | TN | |
| Mental Health Counselor | TN | |
| Mental Health Counselor | MA | |
| Nurse Practitioner | TN | |
| - | TN | |
| P S Y C H I A T R Y | TN | |
| Nurse Practitioner | TN | |
| Clinical Social Worker | TN | |
| Nurse Practitioner | TN |
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