Nicole A Grant, LCSW

Individual provider Active NPI Clinical Social Worker · Choteau, MT

NPI 1245069459 · NPPES record last updated Jul 30, 2026

Key facts

NPI
1245069459
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
BBH-LCSW-LIC-90269 (MT)
Practice address
17 1St St NW
Choteau, MT 59422-9378
Phone
(781) 854-2861
NPI assigned
Jul 29, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
230631MAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 230631 MA
Clinical Social Worker 1041C0700X SC61604804 WA
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-90269 MT Yes

Addresses

Primary practice location

17 1St St NW
Choteau, MT 59422-9378

Mailing address

17 1St St NW
Choteau, MT 59422-9378

Other providers in Choteau, MT

All providers in Choteau, MT · Clinical Social Worker in Montana

Sources for this page

Verify at the official NPI Registry.