Grant Charles Kirkwood, CDCA

Peer Specialist · Andover, OH

Individual Active NPI

NPI number 1639610595

Practice location

158 W Main St
Andover, OH 44003-9318
Phone
(216) 353-4723

Open in Google Maps

NPI record

NPI
1639610595
Entity type
Individual (Type 1)
Enumeration date
March 13, 2017
Last updated
December 5, 2024
Certified
December 5, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X 000120 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X 165555 OH
Behavior Technician 106S00000X — OH

About Grant Kirkwood

Grant Charles Kirkwood, CDCA is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 158 W Main St, Andover, OH 44003-9318. The NPI number 1639610595 was assigned on March 13, 2017 and the record was last updated on December 5, 2024.

Grant Kirkwood lists 2 licenses in the registry: #000120 (OH) for Peer Specialist; #165555 (OH) for Addiction (Substance Use Disorder) Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Grant Charles Kirkwood, CDCA?

The NPI number is 1639610595.

What is the phone number of Grant Kirkwood?

The phone number listed for the practice location is (216) 353-4723.

Where is Grant Kirkwood located?

158 W Main St, Andover, OH 44003-9318.

What is the taxonomy code for Grant Kirkwood?

The primary taxonomy code is 175T00000X – Peer Specialist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Peer Specialist providers in Andover

All Peer Specialist providers in Andover, OH →