Individual provider Active NPI

Kristin Joanne Grant, LCSW

  • Clinical Social Worker
  • Parker, CO
National Provider Identifier
1891817037
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
#785 Issued in CO
Practice address
10233 S Parker Rd
Suite 300
Parker, CO 80134-9314
Phone
(720) 438-5359
Fax
(720) 836-4224
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X #785 CO Primary
Clinical Social Worker 1041C0700X LCS20973 CA

Addresses

Primary practice location

10233 S Parker Rd
Suite 300
Parker, CO 80134-9314

Mailing address

10233 S Parker Rd
Suite 300
Parker, CO 80134-9314
Phone (720) 438-5359

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS20973CAMDClinical Social Worker
#785COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1891817037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10233 S PARKER RD",
            "address_2": "SUITE 300",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349314",
            "telephone_number": "720-438-5359",
            "fax_number": "720-836-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10233 S PARKER RD",
            "address_2": "SUITE 300",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349314",
            "telephone_number": "720-438-5359",
            "fax_number": "720-836-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "KRISTIN",
        "middle_name": "JOANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "#785",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS20973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.