Jerome Grant, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06586800 Issued in NJ

Practice address

6360 Maryland Ave
Mays Landing, NJ 08330-1047

Phone

(609) 319-7617

NPI assigned

Sep 26, 2023

Sex

Male

Sole proprietor

No

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

Enrolled in NJ

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, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Wagner Medical PC

  dba SonderMind

  • Clinical Social Worker
  • Toms River, NJ
  • NPI 1235951187
  Medicare reassignment NPD
• Renew Your Mind

  • Clinical Social Worker
  • Mays Landing, NJ
  • NPI 1629927405
  NPD Authorized official
• Renew Your Mind

  • Clinical Social Worker
  • Mays Landing, NJ
  • NPI 1902760028
  NPD Authorized official
• Renew Your Mind New Jersey LLC

  • Mental Health Counselor
  • Mays Landing, NJ
  • NPI 1396690442

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765065600000",
    "number": "1154100329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 MARYLAND AVE",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083301047",
            "telephone_number": "609-319-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 MARYLAND AVE",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083301047",
            "telephone_number": "609-319-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JEROME",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-26",
        "last_updated": "2025-12-07",
        "certification_date": "2025-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06771900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06586800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel M Golden, D.O.
• Stuart Jack Goldman, M.D.
• Kelly A Gordon, LPN
• Hailey Savannah Gould
• Kristin Graham
• Greater Egg Harbor Regional HS District
• Jamie Lee Grove, LPN
• Purva Gulati, PHARMD
• Shawn A Gupta, DMD
• Deborah Hamani, LCSW

• Clinical Social Worker in Mays Landing, NJ
• Providers in Mays Landing, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2025; 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.