Individual provider Active NPI

Grant J Walter, LCSW C

  • Clinical Social Worker
  • Conowingo, MD
National Provider Identifier
1619939592
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05974 Issued in MD
Practice address
49 Rock Springs Rd
Conowingo, MD 21918-1352
Phone
(410) 378-9696
Fax
(410) 378-9922
NPI assigned
Apr 5, 2006
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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 05974 MD Primary

Addresses

Primary practice location

49 Rock Springs Rd
Conowingo, MD 21918-1352

Mailing address

49 Rock Springs Rd
Conowingo, MD 21918-1352
Phone (410) 378-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05974MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
West Cecil Health Center Inc. CurrentSince Jan 6, 2025 Accepting new patients
West Cecil Health Center Inc. Current Accepting new patients
West Cecil Health Center Inc. CurrentSince Jan 6, 2025 Accepting new patients

Locations

49 Rock Springs Rd
Conowingo, MD 21918
Phone (877) 622-8484

253 Lewis Ln
Ste 202
Havre de Grace, MD 21078
Phone (443) 502-7060

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6703/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DAHIAD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1619939592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 ROCK SPRINGS RD",
            "city": "CONOWINGO",
            "state": "MD",
            "postal_code": "219181352",
            "telephone_number": "410-378-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 ROCK SPRINGS RD",
            "city": "CONOWINGO",
            "state": "MD",
            "postal_code": "219181352",
            "telephone_number": "410-378-9696",
            "fax_number": "410-378-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "GRANT",
        "middle_name": "J",
        "credential": "LCSW C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "05974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conowingo, MD

Sources for this page

Verify at the official NPI Registry.