Donnette Grant, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005130 Issued in GA

Practice address

5030 Duval Point Way SW
Snellville, GA 30039-7623

Phone

(404) 851-7712

NPI assigned

Oct 1, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1629675756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 DUVAL POINT WAY SW",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300397623",
            "telephone_number": "404-851-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 DUVAL POINT WAY SW",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300397623",
            "telephone_number": "404-851-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "DONNETTE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace-Garanthe Medical Supply LLC
• Graceful Healing Home Care Inc
• Azaria Quinee Graham, MS
• Jenease Graham, RBT
• Jaire Granderson, RBT
• Eric Grant
• Madison Prather Grant
• Whitney Grant, RBT
• Gravante Chiropractic & Nutrition Inc.
• Lorraine Scott Gravante, D.C.

• Clinical Social Worker in Snellville, GA
• Providers in Snellville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.