MEDICARE: MARIA ANASTASIA GRANDA 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	073810-1	NY

General Provider Information

NPI Number	:	1841949336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA ANASTASIA GRANDA LCSW

Provider Business Mailing Address
First Line	:	222 STATE ROUTE 375
Second Line	:
City	:	WEST HURLEY
State	:	NY
Zip	:	12491-5632
Country	:	US
Telephone Number	:	518-221-1251
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 STATE ROUTE 375
Second Line	:
City	:	WEST HURLEY
State	:	NY
Zip	:	12491-5632
Country	:	US
Telephone Number	:	518-221-1251
Fax Number	:

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

Provider Enumeration Date	:	03/22/2022
Last Update Date	:	11/22/2023

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1114913639 — DR. WAYNE T MILLER O.D.
Practice Location Address:

292 STATE ROUTE 375
WEST HURLEY, NY
12491-5632

Practice Phone: 845-679-0393
Practice Fax: 845-679-0390

1437179926 — WAYNE T. MILLER, O.D., PLLC
Practice Location Address:

292 STATE ROUTE 375
WEST HURLEY, NY
12491-5632

Practice Phone: 845-679-0393
Practice Fax: 845-679-0390

1871511857 — MR. WILLIAM ALFRED DEGROOT III MFT
Practice Location Address:

1901 WEST ONTARIO AVE
CORONA, CA
92882-5632

Practice Phone: 951-733-4217
Practice Fax: 951-737-6257

1598837643 — JEFFREY A KOEHLER PA
Practice Location Address:

736 IRVING AVE , 5 WEST TOWER ROOM 5632
SYRACUSE, NY
13210-1687

Practice Phone: 315-470-7111
Practice Fax:

1497972855 — DENNIS WEISE
Practice Location Address:

224 DATURA ST STE 414
WEST PALM BEACH, FL
33401-5632

Practice Phone: 561-707-6311
Practice Fax:

Directions to “ MARIA ANASTASIA GRANDA 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.