Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Avery Grant, LISW-CP

Individual provider Clinical Social Worker · NPI 1295574838

Mr. Avery Grant, LISW-CP is a Clinical Social Worker in Rock Hill, South Carolina. Qualified in 2017, 9 years ago. Practices with Supportive Care of South Carolina LLC, a 33-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
9
Licensed in
SC
In the registry since
2024
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Practice location Address checks out

1450 Ebenezer Rd
Rock Hill, SC 29732-2339
Phone: (843) 229-6864
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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 · Licence 16831 (SC)

Record details

NPI number1295574838
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW-CP
Sole proprietorNo
NPI enumeratedMay 22, 2024
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Supportive Care Of South Carolina Llc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rock Hill