Individual provider Active NPI

John H. Grant, LCSW-R

  • Clinical Social Worker
  • Kingston, NY
National Provider Identifier
1508869256
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002451-R Issued in NY
Practice address
291 Wall St.
Kingston, NY 12401-3849
Phone
(845) 339-5572
Fax
(845) 339-5572
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 002451-R NY Primary

Addresses

Primary practice location

291 Wall St.
Kingston, NY 12401-3849

Mailing address

291 Wall St.
Kingston, NY 12401-3849
Phone (845) 339-5572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20060608000316 NY Practitioner - Clinical Social Worker 5294747366 Practice locations: Kingston, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1962
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

291 Wall St
Kingston, NY 12401-3849
Phone (845) 339-5572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002451NYMDMental Health Counselor
002451-RNYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Psychiatric Associates LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229904000000",
    "number": "1508869256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 WALL ST.",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013849",
            "telephone_number": "845-339-5572",
            "fax_number": "845-339-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 WALL ST.",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013849",
            "telephone_number": "845-339-5572",
            "fax_number": "845-339-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JOHN",
        "middle_name": "H.",
        "name_prefix": "Mr.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2008-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "002451-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.