Jessica Mae Grantman, LCSW is a
Social Worker - Clinical based in Spring Lake Park, Minnesota. Jessica Mae Grantman is licensed to practice in Minnesota (license number 34485) and her current practice location is
7766 Highway 65 Ne, Spring Lake Park, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(763) 205-4843.
NPI number for Jessica Mae Grantman is 1689301863 and her current mailing address is 2560 New Town Dr Apt 310, Sun Prairie, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689301863.
Healthcare Provider's Profile
| Full Name | Jessica Mae Grantman |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 7766 Highway 65 Ne, Spring Lake Park, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689301863
- Provider Enumeration Date: 08/06/2022
- Last Update Date: 08/06/2025
Medical Identifiers
Medical identifiers for Jessica Mae Grantman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1689301863 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 9311-123 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34485 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Mae Grantman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jessica Mae Grantman, LCSW 2560 New Town Dr Apt 310, Sun Prairie, WI 53590-7082 Ph: (608) 729-8696 | Jessica Mae Grantman, LCSW 7766 Highway 65 Ne, Spring Lake Park, MN 55432-2832 Ph: (763) 205-4843 |
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