Individual provider

Channing Gredvig, LCSW

Clinical Social Worker Medicare enrolled

Channing Gredvig, LCSW is a provider specialising in Clinical Social Worker in San Diego, CA, registered under NPI 1003113622.

Getting there

Here is what surrounds this office in San Diego, based on OpenStreetMap data collected Sep 6, 2026. Parking is available about 500 ft away. There is EV charging 0.45 mi from the office (Tesla Supercharger) — useful if you are driving in from out of town. The nearest transit stop is 0.24 mi away, served by Midway Drive & East Drive. A pharmacy sits 0.47 mi from the entrance (CVS Pharmacy), which helps if you leave with a prescription. If you arrive early, there is a coffee shop 0.46 mi away.

3420 KENYON ST, San Diego, CA 92110 Open in Google Maps →

Getting here and what is nearby

Parking 346 ft ~2 min
Parking 442 ft ~2 min
Restaurant El Charro Taco Shop 436 ft ~2 min

3445 Midway Drive, San Diego 92110

24/7

+1-619-224-0774

Directions in Google Maps →

Gas station Shell 460 ft ~2 min
Parking 500 ft ~2 min
Hotel Bay Inn & Suites 537 ft ~3 min

3325 Midway Drive, San Diego 92110

Directions in Google Maps →

Restaurant IHOP 527 ft ~2 min

3335 Midway Drive, San Diego 92110

+1-619-223-1425

Directions in Google Maps →

Restaurant Pizza Hut 636 ft ~3 min

3549 Midway Drive, San Diego 92110

+1 619-226-2333

Website

Directions in Google Maps →

Transit 673 ft ~3 min
Coffee Local Krave Midway / Point Loma 894 ft ~4 min

3233 Kemper Street, San Diego 92110

Mo-Su 06:39-14:00

+16193593119

Website

Directions in Google Maps →

Transit 0.22 mi ~5 min
Grocery Ralphs 0.23 mi ~5 min

3345 Sports Arena Boulevard, San Diego 92110

Mo-Su 05:00-01:00

+1 619-222-5818

Website

Directions in Google Maps →

Transit Midway Drive & East Drive 0.24 mi ~5 min
Convenience 7-Eleven 0.25 mi ~5 min

3185 Midway Drive, San Diego 92110-4552

+1 619-222-9969

Website

Directions in Google Maps →

Pharmacy CVS Pharmacy 0.25 mi ~5 min
Hotel Americas Best Value Inn Loma Lodge 0.26 mi ~6 min

3202 Rosecrans Street, San Diego 92110

Directions in Google Maps →

Grocery Vons 0.26 mi ~6 min

3645 Midway Drive, San Diego 92110

+1 619-222-6462

Website

Directions in Google Maps →

Coffee Acento Coffee Roasters 0.30 mi ~6 min
Hotel Howard Johnson Inn San Diego Sea World 0.32 mi ~7 min

3330 Rosecrans Street, San Diego 92110

Directions in Google Maps →

Gas station Summit Gasoline 0.35 mi ~7 min
Gas station Arco 0.36 mi ~8 min

2940 Lytton Street, San Diego 92110

Directions in Google Maps →

Convenience ampm 0.37 mi ~8 min

2940 Lytton Street, San Diego 92110

Directions in Google Maps →

Pharmacy Walgreens 0.37 mi ~8 min
Grocery Sprouts Farmers Market 0.42 mi ~9 min
EV charging Tesla Supercharger 0.45 mi ~10 min

3550 Rosecrans Street, San Diego 92110

24/7

Website

Directions in Google Maps →

Coffee Starbucks 0.46 mi ~10 min
Pharmacy CVS Pharmacy 0.47 mi ~10 min

3327 Rosecrans Street, San Diego 92110

24/7

+1-619-225-9691

Website

Directions in Google Maps →

OpenStreetMap via Overpass · ODbL 800 m radius Updated Sep 6, 2026

Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.

Credentials and Medicare

State licence
LicenceStateSpecialty
64651 CA Clinical Social Worker primary

This provider holds licence 64651 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Clinical Social Worker
PAC ID
0446566137
Enrollment ID
I20150825005695

Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Social Worker. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Clinical covers

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. NUCC Health Care Provider Taxonomy, code 1041C0700X
Behavioral Health & Social Service Providers Social Worker Clinical

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1003113622 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 16, 2011
Last updatedNov 29, 2021
StatusActive
Sole proprietorNo
GenderMale
CredentialLCSW
Practice address 3420 KENYON ST
San Diego, CA 92110
(619) 221-6550
Fax (619) 221-6556
The last update on file is Nov 29, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1003113622 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 0 3 1 1 3 6 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 0 3 2 1 6 6 4

Sum = 48 · next multiple of 10 = 50 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1003113622?
NPI 1003113622 is the National Provider Identifier assigned to Channing Gredvig, LCSW in San Diego, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical cover?
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…
How do I contact Channing Gredvig, LCSW?
The phone number on file with NPPES is (619) 221-6550, last updated Nov 29, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Channing Gredvig, LCSW accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Where do I park when visiting Channing Gredvig, LCSW?
Parking is about 500 ft from the office. The closest transit stop is 0.24 mi away, on Midway Drive & East Drive. Distances are straight-line estimates from OpenStreetMap, so walking routes may be slightly longer.
Is NPI 1003113622 a valid number?
Yes. 1003113622 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.