Individual provider Active NPI

Julia Lynn Grant, L.C.S.W.

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1225169725
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19517 Issued in CA
Practice address
3050 Fite Cir
Ste 204
Sacramento, CA 95827-1807
Phone
(916) 600-7887
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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 19517 CA Primary

Addresses

Primary practice location

3050 Fite Cir
Ste 204
Sacramento, CA 95827-1807

Mailing address

8177 Morgan Hill Way
Sacramento, CA 95828-6365
Phone (916) 681-0965

Other identifiers 4

IdentifierTypeStateIssuer
19517OtherCAL.C.S.W. LICENSE NUMBER
11702176OtherCACAQH PROVIDER #
9942OtherCAPLACER COUNTY PROVIDER #
383319OtherARMHN 'PIN' NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200316000926 CA Practitioner - Clinical Social Worker 9638507197 Practice locations: Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3050 Fite Cir
Suite 204
Sacramento, CA 95827-1807
Phone 91660078870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1225169725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8177 MORGAN HILL WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958286365",
            "telephone_number": "916-681-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 FITE CIR",
            "address_2": "STE 204",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958271807",
            "telephone_number": "916-600-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JULIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "19517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L.C.S.W. LICENSE NUMBER",
            "identifier": "19517",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER #",
            "identifier": "11702176",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLACER COUNTY PROVIDER #",
            "identifier": "9942",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN  'PIN' NUMBER",
            "identifier": "383319",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.