Grant R Hasty, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q10000765 Issued in DE

Practice address

3135 Summit Bridge Rd
Bear, DE 19701-2001

Phone

(302) 464-0515

Fax

(302) 454-7274

NPI assigned

Oct 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Renewed Life Christian Counseling Center IncGroup PAC ID 6901066000, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Renewed Life Christian Counseling Center Inc

  • Community/Behavioral Health Agency
  • Bear, DE
  • NPI 1598039794
  Medicare reassignment Care Compare group NPD Authorized official
• Renewed Life Christian Counseling Center

  dba Rlccc

  • Clinical Social Worker
  • Bear, DE
  • NPI 1972520534
  NPD (past) Authorized official

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1053509737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 DALTON DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197022059",
            "telephone_number": "302-275-8577",
            "fax_number": "302-454-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 SUMMIT BRIDGE RD",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012001",
            "telephone_number": "302-464-0515",
            "fax_number": "302-454-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTY",
        "first_name": "GRANT",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q10000765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000039721",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "166706 YDXJ",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000035733",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Happy Harrys Inc (Walgreens #11017)
• Jordan Elizabeth Harlon
• Cassandra R. Harmon, LMT
• Chisa Harris
• Andrew Phillip Hartnett, HIS
• Rebecca Luine Hayman, RN
• Healing Adults & Adolescents Residential Treatment Program LLC (HAART Program)
• Healing Adults & Adolescents Residential Treatment Program LLC (HAART Program)
• Healing Adults & Adolescents Residential Treatment Program LLC (Marilyn's House)
• Healing Adults & Adolescents Residential Treatment Program LLC (HAART Program)

• Clinical Social Worker in Bear, DE
• Providers in Bear, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.