Healthcare Provider Details

I. General information

NPI: 1205771011
Provider Name (Legal Business Name): TAMIRA GRANGER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PLEASANT PL
NEW CASTLE DE
19720-3005
US

IV. Provider business mailing address

151 PARKER DR
MIDDLETOWN DE
19709-2619
US

V. Phone/Fax

Practice location:
  • Phone: 302-660-6750
  • Fax:
Mailing address:
  • Phone: 302-660-6750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ3-0010811
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: