Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Charles R Granholm Jr., LCSW

Clinical Social Worker in Fort Knox, KY · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619953213

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Registry record

Entity type Individual (Type 1)

Name Mr. Charles R Granholm Jr.

Credential LCSW

Sex Male

Practice address 200 Brule St Bldg Ireland, Fort Knox, KY, 40121

Phone (502) 626-9885

Enumeration date Dec 16, 2005

Last updated in NPPES Dec 4, 2023

Taxonomy & licenses

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 1308 (KY) Primary

LCSW · Licensed Clinical Social Worker: A social worker licensed for clinical practice including mental-health therapy. About the LCSW credential

Other identifiers

Identifier	Type	State	Issuer
1308	Other	KY	STATE LICENSE
34004318A	Other	IN	STATE LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Charles Granholm practice?

The practice location on file with NPPES is in Fort Knox, KY. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Charles Granholm?

The National Provider Identifier (NPI) for Charles Granholm is 1619953213, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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James Stephens Internal Medicine Physician · Fort Knox, KY NPI 1447230875

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-12-04.