Individual provider Active NPI

Grant Michael Palmer, ACSW

  • Clinical Social Worker
  • Encino, CA
National Provider Identifier
1841063997
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118494 Issued in CA
Practice address
16250 Ventura Blvd Ste 465
Encino, CA 91436-4620
Phone
(818) 906-0406
NPI assigned
Oct 31, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 118494 CA Primary

Addresses

Primary practice location

16250 Ventura Blvd Ste 465
Encino, CA 91436-4620

Mailing address

2356 Glendon Ave
Los Angeles, CA 90064-2204
Phone (424) 210-9381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
118494CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Wilshire Counseling Center, a Psychological Corporation CurrentSince Dec 28, 2025 Accepting new patients
Midwest Post-Acute Care of California PC Clinical PastSince Nov 5, 2023 Accepting new patients

Locations

16250 Ventura Blvd
Ste 465
Encino, CA 91436
Phone (818) 419-5648

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1841063997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 GLENDON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642204",
            "telephone_number": "424-210-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 VENTURA BLVD STE 465",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364620",
            "telephone_number": "818-906-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "GRANT",
        "middle_name": "MICHAEL",
        "credential": "ACSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "118494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

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