Grant Chustz
Individual provider Active NPI Social Worker · Bethesda, MD
NPI 1487432183 · NPPES record last updated Sep 15, 2023
Key facts
- NPI
- 1487432183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 30675 (MD)
- Practice address
- 4350 E West Hwy Ste 200
Bethesda, MD 20814-4426 - Phone
- (301) 970-4001
- NPI assigned
- Sep 15, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 4, 2026 through Mar 4, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30675 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Foundations, LLC | Current |
Accepting new patients | |
| HFG Holdings, LLC | Past |
Accepting new patients |
Locations
4350 East West Hwy
Ste 200
Bethesda, MD 20814
Phone (301) 970-4001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 30675 | MD | Yes |
Addresses
Primary practice location
4350 E West Hwy Ste 200
Bethesda, MD 20814-4426
Mailing address
4350 E West Hwy Ste 200
Bethesda, MD 20814-4426
Phone (301) 970-4001
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2023. 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.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.