MR. JERRY LYNN GRUGIN JR. (NPI# 1568017051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568017051 |
| Entity Type | Individual |
| Full Name | MR. JERRY LYNN GRUGIN JR. |
| Credential | MSW |
| Practice Address |
324 Highland Park Dr Richmond KY 40475-3487 |
| Mailing Address |
2250 Thunderstick Dr Lexington KY 40505-9010 |
| Practice Telephone | 8592541035 |
| Practice Fax Number | 8592542075 |
| Mailing Telephone | 8592541035 |
| Mailing Fax Number | 8592542075 |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2019-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
324 HIGHLAND PARK DR |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475-3487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801274048 | Jennifer Miller | Social Worker | 324 Highland Park Dr, Richmond, KY 40475-3487 | 2015-05-07 |
| 1053938019 | Quinesha Saadiq | Social Worker | 324 Highland Park Dr, Richmond, KY 40475-3487 | 2020-06-25 |
| 1689208944 | Sarah Elizabeth Cravero | Psychologist | 324 Highland Park Dr, Richmond, KY 40475-3487 | 2020-02-26 |
| 1902365356 | Zachariah Smith | Specialist/Technologist, Other | 324 Highland Park Dr, Richmond, KY 40475-3487 | 2019-03-15 |
| 1699234054 | Lindsey Haggard | Social Worker | 324 Highland Park Dr, Richmond, KY 40475-3487 | 2019-03-15 |
| 1518432293 | Nicole Cropper | Social Worker | 324 Highland Park Dr, Richmond, KY 40475-3487 | 2018-10-09 |
| 1639653355 | Lorinda Botner Cowan | Social Worker | 324 Highland Park Dr, Richmond, KY 40475-3487 | 2018-09-19 |
| 1104303726 | Bobbie Jo Rudd | Social Worker | 324 Highland Park Dr, Richmond, KY 40475-3487 | 2018-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| Find all providers in zip 40475 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
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|---|---|---|---|---|
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| 1588275770 | Melani Jones | Social Worker | 10825 Midlothian Turnpike Ste 201r, Richmond, VA 23235 | 2020-08-12 |
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| 1053921395 | Rachelle Lee Butler | Social Worker | 2820 E Broad St Apt A, Richmond, VA 23223-7342 | 2020-08-02 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.