IndividualActive
Jendia Grisssett, LICSW
NPI 1356089361 · Clinical Social Worker · Millbrook, AL
Provider details
- NPI number
- 1356089361
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1933C (AL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
556 Mckeithen Pl
Millbrook, AL 36054-1612
Phone: (334) 546-3532
Approximate (ZIP-level) locationGet directions
Mailing address
556 Mckeithen Pl
Millbrook, AL 36054-1612
Registry dates
- Enumerated
- 2022-05-20
- Last updated
- 2022-05-20
- Certified
- 2022-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.