Ayana Utamu Grant, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW018038 Issued in PA

Practice address

530 N St SW Apt S408
Washington, DC 20024-4559

Phone

(240) 406-7606

NPI assigned

Jun 19, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 2, 2021 through Feb 2, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Boyd Cowan, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Alexandria, VA
  • NPI 1801353719
  NPD (past)

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667088000000",
    "number": "1760896575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N ST SW APT S408",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200244559",
            "telephone_number": "240-406-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N ST SW APT S408",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200244559",
            "telephone_number": "240-406-7606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5960 9th St",
            "address_2": "Bldg 1260 Rm 215",
            "address_purpose": "LOCATION",
            "city": "Fort Belvoir",
            "state": "VA",
            "postal_code": "220605509",
            "country_code": "US",
            "telephone_number": "215-939-8239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "AYANA",
        "middle_name": "UTAMU",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2022-10-30",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Park SNF, LLC
• Rashawn Grant-Adona
• Donna Belinda Grant-Mills, DDS
• Aubrey Grant
• Audrey Nadine Grant, PAC
• Buffy Maria Grant
• Cherita Grant
• Cheryl Grant, LICSW
• Christina L Grant, M.D., PH.D.
• David C Grant Jr., MD

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2022; 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.