MEDICARE: MS. JANE ELAINE GRANT M.S., L.B.S.W

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	104100000X	Social Worker	6802063653	MI

General Provider Information

NPI Number	:	1841560711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANE ELAINE GRANT M.S., L.B.S.W

Provider Business Mailing Address
First Line	:	17341 STRASBURG ST
Second Line	:	SAME
City	:	DETROIT
State	:	MI
Zip	:	48205-3147
Country	:	US
Telephone Number	:	313-332-3165
Fax Number	:

Provider Business Practice Location Address
First Line	:	17341 STRASBURG ST
Second Line	:	SAME
City	:	DETROIT
State	:	MI
Zip	:	48205-3147
Country	:	US
Telephone Number	:	313-372-4279
Fax Number	:

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

Provider Enumeration Date	:	01/09/2012
Last Update Date	:	03/10/2026

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