Active NPIIndividual provider

Charles Granoff, LICSW

Social Worker, Clinical in Dorchester, Massachusetts

NPI Number1821204637
Practice location
1100 Washington St, Ste 206, Dorchester, MA 02124-5520
Fax
617-325-5618
Last updated
June 26, 2018

Charles Granoff is a Social Worker, Clinical based in Dorchester, MA. Charles Granoff practices in Dorchester, MA and has the professional credentials of LICSW. The NPI Number for Charles Granoff is 1821204637 and holds a License No. 1021592 (MA). The current practice location address for Charles Granoff is 1100 Washington St, Ste 206, Dorchester, MA 02124-5520 and can be reached out via phone at 617-325-2293 and via fax at 617-325-5618.

Provider Profile Details

NPI Number
1821204637
Provider Name
Charles Granoff
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
1100 Washington St, Ste 206, Dorchester, MA 02124-5520
Phone Number
617-325-2293
Fax Number
617-325-5618
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
May 16, 2007
Last Update Date
June 26, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1100 Washington St
Ste 206
Dorchester, MA 02124-5520
Zip
02124-5520
Phone Number
617-325-2293
Fax Number
617-325-5618
Dorchester, MA 02124Get directions →

Provider Business Mailing Address Details

Address
1731 Beacon St
Brookline, MA 02445-5350
City
Brookline
State
MA
Zip
02445-5350

License Information

License Number
1021592
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 Charles Granoff, LICSW?

The NPI number of Charles Granoff, LICSW is 1821204637. It was assigned on May 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Charles Granoff, LICSW?

Charles Granoff, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1021592.

Where does Charles Granoff, LICSW practice?

The practice location is 1100 Washington St, Ste 206, Dorchester, MA 02124-5520. The office can be reached at 617-325-2293 (phone) or 617-325-5618 (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 1821204637 directly on the NPPES registry website.

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