Carmen Sofia Grant, LCSW-C
Individual provider Active NPI Clinical Social Worker · Federalsburg, MD
NPI 1487148698 · NPPES record last updated Mar 26, 2025
Key facts
- NPI
- 1487148698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 32389 (MD)
- Practice address
- 320 Hargraves Dr
Federalsburg, MD 21632-1088 - Phone
- (410) 754-9021
- Fax
- (833) 908-2285
- NPI assigned
- Jun 20, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Choptank Community Health System Inc
Practice addresses (Care Compare)
522 Cynwood Dr
Suite 100
Easton, MD 21601-3877
Phone (410) 770-8910
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250403000751 | MD | Practitioner - Clinical Social Worker | 8224551916 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32389 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choptank Community Health System Inc | Current |
Accepting new patients | |
| Choptank Community Health System Inc | Current |
Accepting new patients |
Locations
503 Muir St
Ste A
Cambridge, MD 21613
Phone (410) 228-4045
301 Randolph St
Denton, MD 21629
Phone (410) 479-8346
320 Hargraves Dr
Federalsburg, MD 21632
Phone (410) 754-9021
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 98952 | CA | |
| Clinical Social Worker | 1041C0700X | 32389 | MD | Yes |
Addresses
Primary practice location
320 Hargraves Dr
Federalsburg, MD 21632-1088
Mailing address
320 Hargraves Dr
Federalsburg, MD 21632-1088
Phone (410) 754-9021
Other practice location 1
1012 Main St Ste 101
Ramona, CA 92065
Phone (760) 788-9724
Other names
- Carmen Moncada
Other providers in Federalsburg, MD
- Federalsburg Pharmacy LLC
- Federalsburg Pharmacy LLC
- Sandra Garbely Kerkovich
- Golife Mobility LLC
- Mary Gondeck
- Surbhi Gupta
- Michelle Hammond
- John William Hawkins
- Jennifer L Hubbert
- John a Appiott DO PC
All providers in Federalsburg, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.