MS. CHRISTINE MCNULTY GRANT (NPI# 1801493168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801493168 |
| Entity Type | Individual |
| Full Name | MS. CHRISTINE MCNULTY GRANT |
| Credential | LCSW, LADC, CCS |
| Practice Address |
17 Victoria Ln Windham ME 04062-4172 |
| Mailing Address |
Po Box 72 Windham ME 04082-0072 |
| Practice Telephone | 2072007455 |
| Mailing Telephone | 2072007455 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LC5821 | ME | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LC13758 | ME | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306081484 | Christine Sandra Grant | Occupational Therapist | 222 Mother Gaston Blvd, Brooklyn, NY 11233-4312 | 2008-12-03 |
| 1336296425 | Christine Isolde Grant | Dentist | 1402 W Swann Ave, Tampa, FL 33606-2533 | 2007-01-04 |
| 1285288746 | Christine Marie Grant | Nurse Practitioner | 209 Birch Street, Pembroke, MA 02359 | 2019-08-01 |
| 1871915868 | Christine Grant | Pharmacist | 2990 W 12 Mile Rd, Berkley, MI 48072-1414 | 2014-01-10 |
| 1629336870 | Christine Marie Grant | Counselor | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2012-04-25 |
| 1336369834 | Christine Grant | Counselor | 6881 Beechmont Ave, Cincinnati, OH 45230-2907 | 2007-04-26 |
| Street Address |
17 VICTORIA LN |
| City | WINDHAM |
| State | ME |
| Zip Code | 04062-4172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396173878 | Lori A Fletcher | Occupational Therapist | 408 Gray Road, Windham Middle School, Windham, ME 04062 | 2013-10-22 |
| 1952631673 | Great Expectations | Early Intervention Provider Agency | 17 Veterans Memorial Drive, Windham, ME 04062 | 2009-12-31 |
| 1366689986 | Edgeco, LLC | Massage Therapist | 108 Tandberg Trail, Windham, ME 04062 | 2009-01-20 |
| 1245485390 | Cynthia Ann Grover | Counselor | 86 Tanenberg Trail, Smart Child and Family Services, Windham, ME 04062 | 2008-11-17 |
| 1902066277 | Edgeco LLC | Specialist | 108 Tandburg Trail, Windham, ME 04062 | 2008-06-11 |
| 1881811875 | John E. Wood | Counselor | 76 Tandberg Trl Unit 2a, Windham, ME 04062 | 2007-04-19 |
| 1184848509 | Howland W. Bickerstaff | Counselor | Danzig Counseling Services, 936 Roosevelt Trail, Windham, ME 04062 | 2007-04-13 |
| 1700953015 | Melanie P Fitzsimmons | Internal Medicine | 584 Roosevelt Trail, Windham, ME 04062 | 2006-11-29 |
| 1023109204 | Ted W Rogers | Chiropractor | 744 Roosevelt Trail, Windham Crossing Suite 205, Windham, ME 04062 | 2006-09-27 |
| 1285744367 | Cheryl L Klein | Counselor | 30 Hemon Cobb Rd, Windham, ME 04062 | 2006-08-30 |
| Find all providers in zip 04062 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962979740 | Monique Tremblay Burke | Social Worker | 16 Stonehedge Rd, Windham, NH 03087-1251 | 2018-10-30 |
| 1700395068 | Samantha Rose Bacchi | Social Worker | 38 Thrush Ter, Windham, ME 04062-5790 | 2017-09-29 |
| 1326356924 | Douglas Daigle | Social Worker | 406 Gray Rd, Windham, ME 04062-4290 | 2010-09-16 |
| 1881900165 | Laura-lea Langlais | Social Worker | 29 Kimbertown Ln, Windham, ME 04062-3368 | 2010-08-25 |
| 1295933489 | Nolan M Thompson | Social Worker | 755 Roosevelt Trl # 3b, Windham, ME 04062-5341 | 2007-07-10 |
| 1548320427 | Julia Laurenson Orr | Social Worker | 17 Mallison Falls Rd, Windham, ME 04062-4101 | 2006-12-11 |
| 1154330975 | Michelle H. Bolen | Social Worker | 744 Roosevelt Trl Ste 302a, Windham, ME 04062-5281 | 2006-08-08 |
| 1700836079 | Mary C Fletcher | Social Worker | 110 Tandberg Trl, Windham, ME 04062-5206 | 2006-05-10 |
| 1306458542 | Restorative Wellness | Social Worker | 16 Depot St, Windham, ME 04062-4115 | 2020-08-19 |
| 1649813353 | Connecting The Dots LLC | Social Worker | 219 Roosevelt Trl, Windham, ME 04062-4396 | 2019-10-25 |
| Find all providers in WINDHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.