Jeanette Grissom, is a
Social Worker - Clinical based in Indianapolis, Indiana. Jeanette Grissom is licensed to practice in Indiana (license number 39000273A) and her current practice location is
6950 Hillsdale Ct, Indianapolis, Indiana. She can be reached at her office (for appointments etc.) via phone at
(317) 621-7740.
NPI number for Jeanette Grissom is 1790168599 and her current mailing address is 6626 W 75th Street, Ste 500, Indianapolis, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790168599.
Healthcare Provider's Profile
Full Name | Jeanette Grissom |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 6950 Hillsdale Ct, Indianapolis, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790168599
- Provider Enumeration Date: 06/30/2015
- Last Update Date: 11/09/2020
Medical Identifiers
Medical identifiers for Jeanette Grissom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790168599 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 87000380A (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | 39000273A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeanette Grissom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jeanette Grissom, 6626 W 75th Street, Ste 500, Indianapolis, IN 46250-2890 Ph: () - | Jeanette Grissom, 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 Ph: (317) 621-7740 |
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