Extasy Grinn, LCSW, CAP ICADC is a medicare enrolled "Social Worker - Clinical" provider in Maryville, Tennessee. She went to Florida Atlantic University, College Of Medicine and graduated in 2015 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Athena Consulting And Psychological Services, Pllc and her current practice location is
2030 Chilhowee Medical Park, Maryville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(865) 982-3400.
Extasy Grinn is licensed to practice in Tennessee (license number 7341) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124534912.
Healthcare Provider's Profile
| Full Name | Extasy Grinn |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 11 Years |
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| Location | 2030 Chilhowee Medical Park, Maryville, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Extasy Grinn attended and graduated from Florida Atlantic University, College Of Medicine in 2015
NPI Data:
- NPI Number: 1124534912
- Provider Enumeration Date: 12/16/2017
- Last Update Date: 07/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 1951662527
- Enrollment ID: I20221209000468
Medical Identifiers
Medical identifiers for Extasy Grinn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124534912 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ADC-003288-2014 (Florida) | Secondary |
| 104100000X | Social Worker | 7341 (Tennessee) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW14806 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7341 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Athena Consulting And Psychological Services, Pllc | 5294719795 | 47 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Extasy Grinn allows following entities to bill medicare on her behalf.
| Entity Name | Athena Consulting And Psychological Services, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336292465
PECOS PAC ID: 5294719795
Enrollment ID: O20040614001008 |
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| Entity Name | Savida Health, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861118846
PECOS PAC ID: 4082809967
Enrollment ID: O20221228001386 |
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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. Extasy Grinn is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Extasy Grinn, LCSW, CAP ICADC
4799 Palmbrooke Cir,
West Palm Beach, FL 33417-7534
Ph: (561) 876-8751 | Extasy Grinn, LCSW, CAP ICADC
2030 Chilhowee Medical Park,
Maryville, TN 37804-5285
Ph: (865) 982-3400 |
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