MEDICARE: DR. GRANT PIKE DSW, LICSW

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	101Y00000X	Counselor
2	1041C0700X	Clinical Social Worker	123398	MA
3	104100000X	Social Worker	224419	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	123398	OTHER	MA	CLINICAL SOCIAL WORKER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083956957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GRANT PIKE DSW, LICSW

Provider Business Mailing Address
First Line	:	36 N BEDFORD ST
Second Line	:	# C22
City	:	EAST BRIDGEWATER
State	:	MA
Zip	:	02333-1186
Country	:	US
Telephone Number	:	508-992-6553
Fax Number	:

Provider Business Practice Location Address
First Line	:	779 WASHINGTON ST STE 3C
Second Line	:
City	:	CANTON
State	:	MA
Zip	:	02021-3022
Country	:	US
Telephone Number	:	617-398-7080
Fax Number	:

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

Provider Enumeration Date	:	03/19/2013
Last Update Date	:	01/24/2026

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1740062132 — JESSIE HARPER LMHC
Practice Location Address:

779 WASHINGTON ST STE 3C
CANTON, MA
02021-3022

Practice Phone: 781-205-0603
Practice Fax:

1912017971 — DR. RALPH THOMAS SAVARESE DDS
Practice Location Address:

779 WASHINGTON STREET
CANTON, MA
02021-3022

Practice Phone: 781-828-8070
Practice Fax: 781-821-3490

1245454289 — ANNA DALAVURAK DMD, PC
Practice Location Address:

779 WASHINGTON ST , SUITE 3A-3C
CANTON, MA
02021-3022

Practice Phone: 781-828-8070
Practice Fax: 781-821-3490

1376767384 — DR. ANNA DALAVURAK DMD
Practice Location Address:

779 WASHINGTON ST , SUITE 3A-3C
CANTON, MA
02021-3022

Practice Phone: 781-828-8070
Practice Fax: 781-821-3490

1922316470 — MELISSA WILSON LMHC
Practice Location Address:

779 WASHINGTON ST STE 3C
CANTON, MA
02021-3022

Practice Phone: 339-987-0333
Practice Fax:

Directions to “ DR. GRANT PIKE DSW, LICSW” 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.