Alexandra Grannan Licsw LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ALEXANDRA GRANNAN LICSW LLC

Practice address

800 Lexington Street
Waltham Plaza 1070
Waltham, MA 02451

Phone

(617) 520-4115

NPI assigned

Feb 16, 2024

Last updated

Feb 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexandra Grannan, LICSWNPI 1245740257

Title

Manager, Sole Member

Phone

(617) 520-4115

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexandra Grannan, LICSW

  • Clinical Social Worker
  • Boston, MA
  • NPI 1245740257
  NPD Authorized official

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1871358077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 LEXINGTON STREET",
            "address_2": "WALTHAM PLAZA 1070",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LEXINGTON STREET",
            "address_2": "WALTHAM PLAZA 1070",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02451",
            "telephone_number": "617-520-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRA GRANNAN LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "GRANNAN",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "MANAGER, SOLE MEMBER",
        "authorized_official_telephone_number": "617-520-4115",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neha Ala
• Titilayo Oluseyi Alabi, M.D.
• Sabrina Alampi, MSW, LCSW
• Albany Kidney Care LLC
• Renee Albert, MSW, LICSW
• Diane Alhafez
• Sara Anne Aliperti, DPT
• Mohsen Alirezaei
• Aliza C Yarrow PSYD LLC
• Mahya Alizadehparidloo

• Community/Behavioral Health Agency in Waltham, MA
• Providers in Waltham, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.