Lori Rose Grant is a Clinical in Long Beach, New York. Lori Rose Grant practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lori Rose Grant is 1275749459. The last update date is 2007-07-08.
Lori Rose Grant's current location address is 242 E Olive Street, Long Beach, New York. You can contact this provider via phone number 5168894403 and fax number 5168894403. The mailing address for Lori Rose Grant is 242 E Olive Street, Long Beach, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lori Rose Grant |
|---|---|
| Address | 242 E Olive Street, Long Beach, New York |
| Phone Number | 5168894403 |
| Fax Number | 5168894403 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1275749459 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 242 E Olive Street |
|---|---|
| City | Long Beach |
| State | New York (NY) |
| Post Code | 11561 |
| Phone Number | 5168894403 |
| Fax Number | 5168894403 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R022705-1 |
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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 |
|---|---|---|---|
| 146500 | NY | VALUE OPTIONS | |
| 194 | NY | GHI |
Post Comment/ Review Below
What is the unique identification code assigned to Lori Rose Grant by the Centers for Medicare & Medicaid Services?
The Lori Rose Grant has been issued the NPI (National Provider Identifier) 1275749459. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Lori Rose Grant is physically located?
The Lori Rose Grant is physically situated at the following address: 242 E Olive Street, Long Beach, NY, 11561.
What is the Lori Rose Grant's specialty and taxonomy code?
The Lori Rose Grant's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Lori Rose Grant receive its 1275749459 assignment?
The Lori Rose Grant was assigned its 1275749459 on 2007-05-15, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Lori Rose Grant, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lori Rose Grant, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL