Carmen Sofia Grant, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

32389 Issued in MD

Practice address

320 Hargraves Dr
Federalsburg, MD 21632-1088

Phone

(410) 754-9021

Fax

(833) 908-2285

NPI assigned

Jun 20, 2018

Last updated

Mar 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Carmen Moncada Former name

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Choptank Community Health System IncGroup PAC ID 0648189274, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Choptank Community Health System Inc

  • Federally Qualified Health Center (FQHC)
  • Denton, MD
  • NPI 1356388599
  Medicare reassignment Care Compare group NPD
• Choptank Community Health System Inc

  dba Federalsburg Health Center

  • Federally Qualified Health Center (FQHC)
  • Federalsburg, MD
  • NPI 1306678537
  NPD

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1487148698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 HARGRAVES DR",
            "city": "FEDERALSBURG",
            "state": "MD",
            "postal_code": "216321088",
            "telephone_number": "410-754-9021",
            "fax_number": "833-908-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 HARGRAVES DR",
            "city": "FEDERALSBURG",
            "state": "MD",
            "postal_code": "216321088",
            "telephone_number": "410-754-9021",
            "fax_number": "833-908-2285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1012 Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ramona",
            "state": "CA",
            "postal_code": "92065",
            "country_code": "US",
            "telephone_number": "760-788-9724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "CARMEN",
        "middle_name": "SOFIA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "98952",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "32389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "MONCADA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Federalsburg Pharmacy LLC (Cantner's Drug Store)
• Federalsburg Pharmacy LLC (canters drug store)
• Sandra Garbely Kerkovich, DMD
• Golife Mobility LLC
• Mary Gondeck, ATC
• Ashley Gray, LPCMH
• Surbhi Gupta
• Michelle Hammond, CMHC, PHD ,
• John William Hawkins, DDS
• Jennifer L Hubbert

• Clinical Social Worker in Federalsburg, MD
• Providers in Federalsburg, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.