Extasy Grinn, LCSW, CAP. ICADC
NPI 1124534912 · Clinical Social Worker · Maryville, TN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1124534912
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW, CAP. ICADC
- Sex
- Female
- Sole proprietor
- Yes
- License
- ADC-003288-2014 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 4799 Palmbrooke CirWest Palm Beach, FL 33417-7534Phone: (561) 876-8751
- 10133 Sherrill Blvd Ste 220Knoxville, TN 37932-3775Phone: (615) 320-1155Fax: (615) 320-1177
Registry dates
- Enumerated
- 2017-12-16
- Last updated
- 2025-07-09
- Certified
- 2025-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.