Jessica Mae Grantman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34485 Issued in MN

Practice address

7766 Highway 65 NE
Spring Lake Park, MN 55432-2832

Phone

(763) 205-4843

Fax

(612) 416-2085

NPI assigned

Aug 6, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 4, 2024 through Mar 4, 2028

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Golden Mend Wellness and Counseling

  • Clinical Social Worker
  • Madison, WI
  • NPI 1013537836

  Mental Health

  NPD Authorized official
• Expanse - a Minnesota Mental Health Ketamine & Psychedelic Psychother

  dba Expanse MN

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minneapolis, MN
  • NPI 1528726775
  NPD

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

{
    "created_epoch": "1659744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1689301863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 NEW TOWN DR APT 310",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535907082",
            "telephone_number": "608-729-8696",
            "fax_number": "608-403-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7766 HIGHWAY 65 NE",
            "city": "SPRING LAKE PARK",
            "state": "MN",
            "postal_code": "554322832",
            "telephone_number": "763-205-4843",
            "fax_number": "612-416-2085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Verona Ave",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "WI",
            "postal_code": "535931394",
            "country_code": "US",
            "telephone_number": "608-423-6797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 E Olin Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537131482",
            "country_code": "US",
            "telephone_number": "608-729-8696",
            "fax_number": "608-403-3464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANTMAN",
        "first_name": "JESSICA",
        "middle_name": "MAE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9311-123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "34485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Folie, PSY.D.
• Alex Kent Fox, DC
• Yusra Galall
• Zainab Gelle
• Goldfox Counseling P.C.
• Sarah Graveley
• Guided Services LLC
• Ikraan Haaji
• Ted H Harrison Sr., D.C.
• Susan S Hartman, M.A. , L.P.

• Clinical Social Worker in Spring Lake Park, MN
• Providers in Spring Lake Park, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.