Organization Active NPI

Anne M Grant Licsw LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manchester, NH
National Provider Identifier
1982180543
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ANNE M GRANT LICSW LLC
Practice address
121 Middle St
Manchester, NH 03101-1981
Phone
(978) 408-3840
NPI assigned
Jul 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Anne GrantNPI 1255747093
Title
Owner
Phone
(978) 408-3842

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

121 Middle St
Manchester, NH 03101-1981

Mailing address

121 Middle St
Manchester, NH 03101-1981
Phone (978) 408-3840

Other practice location 1

33 Walker Rd Ste 22
North Andover, MA 01845-1985
Phone (978) 408-3842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240223003151 NH Part B Supplier - Clinic/Group Practice 3779835574 Receives reassigned benefits from 1 practitioner
Practice locations: Manchester, NH

National Provider Directory

National Provider Directory

Locations

451 Andover St
Ste 160
North Andover, MA 01845
Phone (978) 408-3842

33 Walker Rd
Ste 22
North Andover, MA 01845
Phone (781) 439-3261

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1982180543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MIDDLE ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011981",
            "telephone_number": "978-408-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MIDDLE ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011981",
            "telephone_number": "978-408-3840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Walker Rd Ste 22",
            "address_purpose": "LOCATION",
            "city": "North Andover",
            "state": "MA",
            "postal_code": "018451985",
            "country_code": "US",
            "telephone_number": "978-408-3842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANNE M GRANT LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-408-3842"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.