Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grady Shumway

Individual provider Other Technician · NPI 1407242399

Grady Shumway is a Clinical Social Worker in Blanding, Utah. Qualified in 2021, 5 years ago. Practices with San Juan Mental Health-Substance Abuse Special Service District, a 4-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

735 S 200 W Ste 1
Blanding, UT 84511-3923
Phone: (435) 678-2992
Fax: (435) 678-3116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Other Technician Taxonomy 247200000X

Record details

NPI number1407242399
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 8, 2015
Last updated in NPPESMay 11, 2021
Certification dateMay 11, 2021
Mailing address735 S 200 W Ste 1, Blanding, UT 84511-3923

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice San Juan Mental Health-Substance Abuse Special Service District — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Blanding