1. Home
  2. Directory
  3. Kentucky
  4. Fort Knox
  5. Social Worker
  6. NPI Profile

MR. CHARLES R GRANHOLM JR. LCSW
NPI 1619953213
Social Worker - Clinical in Fort Knox, KY

Active since December 16, 2005
200 BRULE ST BLDG IRELAND, FORT KNOX, KY 40121(502) 626-9885 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Charles R Granholm Jr. Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHARLES R GRANHOLM JR. LCSW (NPI 1619953213) is an individual clinical provider in Fort Knox, Kentucky, licensed in Kentucky (1308) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1619953213
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. CHARLES R GRANHOLM JR.Credential: LCSW
Location Address200 BRULE ST BLDG IRELANDFort Knox, KY 40121-6100
Mailing Address200 Brule St Bldg 871Fort Knox, KY 40121-6100 · (502) 626-9877
Phone(502) 626-9885
Sole ProprietorNo
Enumeration DateDecember 16, 2005
Last NPPES UpdateDecember 4, 2023
NPPES CertifiedDecember 4, 2023
✔ NPI 1619953213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KY · 1308
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
200 BRULE ST BLDG IRELAND, Fort Knox, KY 40121
Open in Google Maps ↗

Other Identifiers 2

Other1308KY · State License
Other34004318AIN · State License

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES CLAY STEPHENS M.D.
Internal Medicine
200 BRULE ST BLDG IRELAND
FORT KNOX, KY 40121
Hardin County (502) 624-3149

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Granholm's NPI number?

The NPI number for Charles Granholm is 1619953213. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Where is Charles Granholm located?

Charles Granholm practices at 200 Brule St Bldg Ireland, Fort Knox, KY 40121. The listed phone number is (502) 626-9885.

What is Charles Granholm's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Charles Granholm was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.