Erica Michelle Grant, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004316 Issued in GA

Practice address

3415 Old 41 Highway Ste 750
Kennesaw, GA 30144-1028

Phone

(785) 748-3163

Fax

(678) 574-8315

NPI assigned

Oct 1, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Erica Michelle Keys Former name

Medicare fee-for-service enrollment

Enrolled in GA

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

Vitae Health Medical Georgia LLCGroup PAC ID 4183079577, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

49.38 of 100Reported as group

Quality

4.35

Promoting interoperability

0

Improvement activities

40

Cost

76.92

Medicare enrollment (NPD)

Enrolled

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.

• Urban Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kennesaw, GA
  • NPI 1326713231
  Medicare reassignment NPD Authorized official
• Vitae Health Medical Georgia LLC

  • Internal Medicine Physician
  • Cartersville, GA
  • NPI 1184320574

  Clinical

  Medicare reassignment Care Compare group NPD
• Backpack Medical Group, P.C.

  • Clinical Social Worker
  • Elkridge, MD
  • NPI 1851177570

  GA

  Medicare reassignment NPD
• Brave Health Medical Group PA

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1225669161

  GA

  Medicare reassignment NPD
• Qofl Services LLC

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1942554837

  GA

  Medicare reassignment NPD
• Progressive Care Associates, Inc.

  • Clinical Social Worker
  • Kennesaw, GA
  • NPI 1528400926
  NPD (past)
• Linnel Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Elkridge, MD
  • NPI 1932795044
  NPD (past)

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

{
    "created_epoch": "1317427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617494400000",
    "number": "1801170402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 OLD 41 HIGHWAY STE 750",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441028",
            "telephone_number": "678-574-8313",
            "fax_number": "678-574-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 OLD 41 HIGHWAY STE 750",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441028",
            "telephone_number": "785-748-3163",
            "fax_number": "678-574-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "ERICA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-01",
        "last_updated": "2021-04-04",
        "certification_date": "2021-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "KEYS",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna Harrell Gould
• Ellen Rebecca Grade
• Yolanda Patrice Graham, M.D.
• Julie Renee Graiser, NP-C
• Alim Jamal Grant, D.D.S
• Xavier Granville
• Mary Elizabeth Graves, PNP
• Michael Gray
• Zachary Paul Graziosi, RBT
• Great Start Development Center, LLC

• Clinical Social Worker in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2021; 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.