| Bryce Allen Grindstaff, LSW | |
|
625 Cleveland Ave Nw, Canton, OH 44702-1805 | |
| (330) 445-2677 | |
| (330) 455-2101 |
| Full Name | Bryce Allen Grindstaff |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 4 Years |
| Location | 625 Cleveland Ave Nw, Canton, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134752108 | NPI | - | NPPES |
| 0425964 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | S2005696 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eleanor Health Professional Ma, Pllc | 7416360946 | 12 |
| Entity Name | Eleanor Health Professional Ma, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205446374 PECOS PAC ID: 7416360946 Enrollment ID: O20201230001583 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryce Allen Grindstaff, LSW 625 Cleveland Ave Nw, Canton, OH 44702-1805 Ph: (330) 455-0374 | Bryce Allen Grindstaff, LSW 625 Cleveland Ave Nw, Canton, OH 44702-1805 Ph: (330) 445-2677 |
Kathleen Terry, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4368 Dressler Rd Nw Ste 103, Canton, OH 44718 Phone: 330-433-1300 Fax: 330-494-0828 |
Mark Woods, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 624 Market Ave N, Canton, OH 44702 Phone: 330-454-7066 |
Randall Devney, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4895 Dressler Rd Nw, Canton, OH 44718 Phone: 330-493-0083 |
Kristina Marie Drummer, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Tuscarawas St W, Canton, OH 44702 Phone: 330-438-2400 |
Susan Stroup, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 624 Market Ave N, Canton, OH 44702 Phone: 330-454-7066 |
Nicholas Fulks, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 400 Tuscarawas St W, Canton, OH 44702 Phone: 330-438-2400 Fax: 330-823-7078 |
Kate Kelly, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4895 Dressler Rd Nw, Canton, OH 44718 Phone: 330-493-0083 |