MEDICARE: JESSICA L GRANT LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	58.007289	CT

General Provider Information

NPI Number	:	1679819536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA L GRANT LCSW

Provider Business Mailing Address
First Line	:	174 WEST ST STE 207
Second Line	:
City	:	LITCHFIELD
State	:	CT
Zip	:	06759-3435
Country	:	US
Telephone Number	:	860-681-4684
Fax Number	:

Provider Business Practice Location Address
First Line	:	174 WEST ST STE 207
Second Line	:
City	:	LITCHFIELD
State	:	CT
Zip	:	06759-3435
Country	:	US
Telephone Number	:	860-681-4684
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2012
Last Update Date	:	08/20/2025

Similar Medicare Providers

1548912074 — MACIE PRAJER
Practice Location Address:

174 WEST ST STE 207
LITCHFIELD, CT
06759-3435

Practice Phone: 203-560-3677
Practice Fax:

1750443024 — MR. ROBERT WALLACE
Practice Location Address:

12421 W DENTON AVE
LITCHFIELD PARK, AZ
85340-3435

Practice Phone: 623-535-9788
Practice Fax:

1972469823 — PAUL KUCZO
Practice Location Address:

457 BANTAM RD
LITCHFIELD, CT
06759-3225

Practice Phone: 860-387-7349
Practice Fax:

1972501922 — CATHERINE A LAVOIE MSN, APRN
Practice Location Address:

15 MEADOW ST STE 1
LITCHFIELD, CT
06759-3504

Practice Phone: 860-488-1919
Practice Fax:

1801881651 — LITCHFIELD AMBULANCE ASSOCIATION INC
Practice Location Address:

11 EAST ST
LITCHFIELD, CT
06759-3601

Practice Phone: 860-567-9132
Practice Fax:

1942297312 — DR. TOMMASINA PASQUA SIDERIS OD
Practice Location Address:

17C COMMONS DR
LITCHFIELD, CT
06759-3448

Practice Phone: 860-880-2020
Practice Fax:

Directions to “ JESSICA L GRANT LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.