Individual provider Active NPI

Laura Kelsey Grant, LICSW

  • Clinical Social Worker
  • Calera, AL
National Provider Identifier
1073210498
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5248C Issued in AL
Practice address
177 Bonnieville Dr
Calera, AL 35040-3646
Phone
(334) 695-5439
NPI assigned
Feb 15, 2023
Last updated
Feb 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5248C AL Primary

Addresses

Primary practice location

177 Bonnieville Dr
Calera, AL 35040-3646

Mailing address

177 Bonnieville Dr
Calera, AL 35040-3646
Phone (334) 695-5439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20231114002806 AL Practitioner - Clinical Social Worker 8022465988 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BMSC Az LLC Clinical CurrentSince Jul 1, 2025 Accepting new patients
Russellville Hospital Inc CurrentSince Nov 15, 2023 Accepting new patients
Russellville Hospital Inc Current Accepting new patients

Locations

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 896-7160

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1073210498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 BONNIEVILLE DR",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350403646",
            "telephone_number": "334-695-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 BONNIEVILLE DR",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350403646",
            "telephone_number": "334-695-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "LAURA",
        "middle_name": "KELSEY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5248C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calera, AL

Sources for this page

Verify at the official NPI Registry.