Chantelle Grant, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW8993 Issued in FL

Practice address

3782 Tamiami TRL
Suite a
Port Charlotte, FL 33952-8308

Phone

(941) 629-7855

Fax

(941) 629-9589

NPI assigned

Mar 24, 2008

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jose M Gonzalez-Canal P aGroup PAC ID 4981781440, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Jose M Gonzalez-Canal P a

  • Psychiatry Physician
  • Port Charlotte, FL
  • NPI 1568514073
  Medicare reassignment Care Compare group NPD
• Beacon Clinic, Inc.

  • Mental Health Counselor
  • Port Charlotte, FL
  • NPI 1194803734
  NPD (past)

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1780855312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496080",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339496080",
            "telephone_number": "941-629-7855",
            "fax_number": "941-629-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3782 TAMIAMI TRL",
            "address_2": "SUITE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528308",
            "telephone_number": "941-629-7855",
            "fax_number": "941-629-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "CHANTELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-24",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Lynn Graham, APRN
• Feytara Graham, MA, LPC, LMHC
• Ashley Marie Graner
• Paul B. Graniero, M.D.
• Grant Medical Transportation, Inc
• Great Care Provider
• Greatest Healthcare
• Sheri B Green, PA-C
• Karen Greenberg Schroeder, OTR
• Dale A Greenberg, M.D.

• Clinical Social Worker in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.