Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA MAE GRANTMAN, LCSW
Active Sole ProprietorJESSICA MAE GRANTMAN, LCSW is a Clinical Social Worker healthcare provider located in SPRING LAKE PARK, Minnesota. NPI 1689301863 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · SPRING LAKE PARK, MN
Registration Details
- NPI Number
- 1689301863
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 6, 2022 (3.9800431070209 yrs)
- Last Updated
- Aug 6, 2025
- Licenses
-
9311-123 (WI)34485 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7766 HIGHWAY 65 NESPRING LAKE PARK, MN, 554322832Browse MN providers · Browse ZIP 55432
- Phone
- 7632054843
- Fax
- 6124162085
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in SPRING LAKE PARK, MN
| Name | Credential | NPI |
|---|---|---|
| JOHN DWIGHT FERGUSON | LICSW | 1588744304 |
| JESSICA LUEHRING | — | 1639543556 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.