Amy Grantham, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29654 Issued in MD

Practice address

1101 S Potomac St
Hagerstown, MD 21740-7322

Phone

(301) 766-8369

NPI assigned

Jun 23, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amy Grantham Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Eastern Panhandle Mental Health Center (Group)

  dba EastRidge Health Systems

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1528488012
  NPD (past)
• Shenandoah Valley Medical System, Inc.

  dba Winchester Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Winchester, VA
  • NPI 1023217452
  NPD (past)
• Shenandoah Valley Medical System, Inc.

  dba Shenandoah Community Health Widmyer Elementary

  • Federally Qualified Health Center (FQHC)
  • Berkeley Springs, WV
  • NPI 1568186153
  NPD (past)

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1780099408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S POTOMAC ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407322",
            "telephone_number": "301-766-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S POTOMAC ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407322",
            "telephone_number": "301-766-8369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Tavern Rd",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254012890",
            "country_code": "US",
            "telephone_number": "304-263-7023 x1410",
            "fax_number": "304-264-0508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 S Water St",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254014241",
            "country_code": "US",
            "telephone_number": "304-263-8954 x7067",
            "fax_number": "304-264-0763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANTHAM",
        "first_name": "AMY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2023-03-01",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00943833",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "29654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "GRANTHAM",
            "credential": "LICSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebecca Catherine Grach
• Mary Ellen Graham, LCPC
• Aimee Lynn Grahe, LAC
• Adam Grahn, DPM
• Brandy Hooper Grahn, D.P.M
• Patrick Joseph Graveline, PSY.D., BCBA-D
• Kathryn Elaine Gravell, CCC,SLP
• Tiffani Sarah Graves
• Kelly Gray
• Kourtney Green Hadden, LCSW-C

• Clinical Social Worker in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.