Tisha Grant, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

26150 Issued in MD

Practice address

5401 Baltimore National Pike
Baltimore, MD 21229-2102

Phone

(410) 869-4618

NPI assigned

Mar 31, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1710565890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 BALTIMORE NATIONAL PIKE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212292102",
            "telephone_number": "410-869-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 BALTIMORE NATIONAL PIKE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212292102",
            "telephone_number": "410-869-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "TISHA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "26150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tisha.grant@davita.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5401 Baltimore National Pike",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212292102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew David Grant, MS, RD
• Matthew John Grant, M.D.
• Michael C. Grant, M.D.
• Nathaniel Grant
• Robert Stevenson Grant II, DPT
• Torie Grant, MD
• Tzvi Moshe Grant, BT
• Victoria L Grant, RN
• Christine Carol Grap, CRNP
• Grapevine Radiology Associates

• Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.