Active NPIIndividual providerSole proprietor

Dr. Polly W Grant

Social Worker, Clinical in Revere, Massachusetts

NPI Number1538286919
Practice location
300 Ocean Ave., Revere, MA 02151
Fax
781-485-6119
Last updated
July 8, 2007

Polly Walker Grant is a Social Worker, Clinical based in Revere, MA. Polly Walker Grant practices in Revere, MA. The NPI Number for Polly Walker Grant is 1538286919 and holds a License No. 100125 (MA). The current practice location address for Polly Walker Grant is 300 Ocean Ave., Revere, MA 02151 and can be reached out via phone at 781-485-6111 and via fax at 781-485-6119.

Provider Profile Details

NPI Number
1538286919
Provider Name
Polly Walker Grant
Provider Entity Type
Individual
Gender
Female
Address
300 Ocean Ave., Revere, MA 02151
Phone Number
781-485-6111
Fax Number
781-485-6119
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
-- Polly Grant Riley, PHD, MSW (Former Name)
Provider Enumeration Date
March 23, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Ocean Ave.
Revere, MA 02151
City
Revere
Zip
02151
Phone Number
781-485-6111
Fax Number
781-485-6119
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
86 Fresh Pond Pkwy
Cambridge, MA 02138-3334
City
Cambridge
State
MA
Zip
02138-3334
Phone Number
617-491-3042
Fax Number
781-485-6119

License Information

License Number
100125
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Polly W Grant?

The NPI number of Dr. Polly W Grant is 1538286919. It was assigned on March 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Polly W Grant?

Dr. Polly W Grant is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 100125.

Where does Dr. Polly W Grant practice?

The practice location is 300 Ocean Ave., Revere, MA 02151. The office can be reached at 781-485-6111 (phone) or 781-485-6119 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538286919 directly on the NPPES registry website.

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