Lauren May Grant, LICSW

Individual provider Active NPI Clinical Social Worker · Worcester, VT

NPI 1457959751 · NPPES record last updated Dec 19, 2024

Key facts

NPI
1457959751
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
089.0136250 (VT)
Practice address
23 Ira B Rd
Worcester, VT 05682
Phone
(502) 448-2667
NPI assigned
Oct 9, 2020
Sex
Female
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

23 Ira Brown Rd
Worcester, VT 05682-9618
Phone (802) 448-2667

23 Ira Brown Rd
Worcester, VT 05682-9626

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260311003738 VT Practitioner - Clinical Social Worker 4183107766 Practice locations: Worcester, VT

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
089.0136250VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum, Inc. Past
since Oct 1, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089.0136250 VT Yes

Addresses

Primary practice location

23 Ira B Rd
Worcester, VT 05682

Mailing address

23 Ira B Rd
Worcester, VT 05682
Phone (502) 448-2667

Other providers in Worcester, VT

All providers in Worcester, VT · Clinical Social Worker in Vermont

Sources for this page

Verify at the official NPI Registry.