Active NPI
Tamara Angela Grant, LCSW
- Clinical Social Worker
- Atlanta, GA
National Provider Identifier
1154478220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW004285
- Practice address
- 1050 Crown Pointe Pkwy
Suite 450
Atlanta, GA 30338-7707 - Phone
- (866) 325-5434
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW004285 | GA | Primary |
Addresses
Primary practice location
1050 Crown Pointe Pkwy
Suite 450
Atlanta, GA 30338-7707
Mailing address
2101 Crescentview Dr
Lawrenceville, GA 30044-6803
Phone (770) 277-2035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Psych Solutions Corp | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Atlanta, GA
- NPI 1225078629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310428800000",
"number": "1154478220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 CRESCENTVIEW DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300446803",
"telephone_number": "770-277-2035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 CROWN POINTE PKWY",
"address_2": "SUITE 450",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303387707",
"telephone_number": "866-325-5434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "TAMARA",
"middle_name": "ANGELA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2011-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW004285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.