Provider Demographics
NPI:1245996966
Name:GRUBBS, CORTNEY (LCSW)
Entity type:Individual
Prefix:
First Name:CORTNEY
Middle Name:
Last Name:GRUBBS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CORTNEY
Other - Middle Name:
Other - Last Name:CHADWICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:TABB
Mailing Address - Street 1:109 CAROL DR
Mailing Address - Street 2:
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-1921
Mailing Address - Country:US
Mailing Address - Phone:570-313-0618
Mailing Address - Fax:
Practice Address - Street 1:1710 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18510-2336
Practice Address - Country:US
Practice Address - Phone:570-969-7313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-17
Last Update Date:2025-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0230071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical