Teresa Grant, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

093564-01 Issued in NY

Practice address

203 E 4TH St Apt 4B
Mount Vernon, NY 10553-1428

Phone

(347) 909-8915

NPI assigned

Jul 24, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627084800000",
    "number": "1043883267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E 4TH ST APT 4B",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105531428",
            "telephone_number": "347-909-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E 4TH ST APT 4B",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105531428",
            "telephone_number": "347-909-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "TERESA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-24",
        "last_updated": "2021-07-24",
        "certification_date": "2021-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "7381",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "093564-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiana Goshorn
• Monique Graham, RN
• Gramatan Health Supplies LLC
• Gramatan Pharmacy Corp
• Michele Grant
• Daryl Wesley Graves, MD
• Nicodee Simone Gray-Brooks
• Dorett Gray-Harris
• Harline E Gray, LPN
• Greater Ny Nursing

• Social Worker in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.