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

Grant Sandrock, CDCA

Individual provider Peer Specialist · NPI 1598494882

Grant Sandrock, CDCA is a Peer Specialist in Kent, Ohio. Works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

143 Gougler Ave
Kent, OH 44240-2401
Phone: (330) 677-4124
Fax: (330) 677-4134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 209 S Chestnut St Ste 302, Ravenna, OH 44266-3029 — (330) 297-7842

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Peer Specialist Taxonomy 175T00000X · Licence 0002282 (OH)

Record details

NPI number1598494882
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorNo
NPI enumeratedJune 10, 2022
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025
Mailing address209 S Chestnut St Ste 302, Ravenna, OH 44266-3029

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