Louise Grant is a Clinical in Waban, Massachusetts. Louise Grant practices all healthcare services and medical treatments related to Clinical. The NPI Number for Louise Grant is 1033274790. The last update date is 2007-07-08.
Louise Grant's current location address is 796 Chestnut St, Waban, Massachusetts. You can contact this provider via phone number 6172325737 and fax number 6177960188. The mailing address for Louise Grant is 796 Chestnut St, Waban, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Louise Grant |
|---|---|
| Address | 796 Chestnut St, Waban, Massachusetts |
| Phone Number | 6172325737 |
| Fax Number | 6177960188 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1033274790 |
|---|---|
| Provider Enumeration Date | 2006-12-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 796 Chestnut St |
|---|---|
| City | Waban |
| State | Massachusetts (MA) |
| Post Code | 24682039 |
| Phone Number | 6172325737 |
| Fax Number | 6177960188 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 101123 |
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Definition: 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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 795262 | MA | TUFTS HEALTH PLAN | |
| PO1154 | MA | BLUE CROSS | |
| 352685 | MA | MAGELLAN HEALTH |
Post Comment/ Review Below
What is the unique identifier code issued to Louise Grant by the Centers for Medicare & Medicaid Services (CMS)?
The Louise Grant has been assigned the NPI (National Provider Identifier) 1033274790. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Louise Grant's facilities are situated?
The facilities of Louise Grant are physically located at the following address: 796 Chestnut St, Waban, MA, 24682039.
What is Louise Grant's specialized field of practice, and what is the corresponding taxonomy classification code?
The Louise Grant's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033274790 to Louise Grant?
The Centers for Medicare & Medicaid Services originally issued the 1033274790 to Louise Grant on 2006-12-23.
As of what date were the details pertaining to Louise Grant last refreshed?
The information related to the Louise Grant, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC