Active NPI
Courtney Grant
- Clinical Social Worker
- Saint Ignace, MI
National Provider Identifier
1275771065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801086347
- Practice address
- 114 W Elliott St
Saint Ignace, MI 49781-1868 - Phone
- (906) 643-8616
- NPI assigned
- Feb 2, 2009
- Last updated
- Jul 23, 2024
- 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 | 6801086347 | MI | Primary |
Addresses
Primary practice location
114 W Elliott St
Saint Ignace, MI 49781-1868
Mailing address
125 N Lake St
Manistique, MI 49854-1234
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 |
|---|---|---|---|
| Hiawatha Community Mental Health Authority | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hiawatha Behavioral Health
- Community/Behavioral Health Agency
- Saint Ignace, MI
- NPI 1457529505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1275771065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 N LAKE ST",
"city": "MANISTIQUE",
"state": "MI",
"postal_code": "498541234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 W ELLIOTT ST",
"city": "SAINT IGNACE",
"state": "MI",
"postal_code": "497811868",
"telephone_number": "906-643-8616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-02",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801086347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Ignace, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.