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TIFFANY ROSE GRANT LCSW
NPI 1184153504
Social Worker in Ammon, ID

Active since June 08, 2017PECOS EnrolledAccepts Medicare Assignment
2705 E 17TH ST, AMMON, ID 83406(208) 346-7500(208) 346-7501 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 17, 2021, Jun 8, 2017 (2 updates tracked since 2017).

About Tiffany Rose Grant Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY ROSE GRANT LCSW (NPI 1184153504) is an individual social worker in Ammon, Idaho, licensed in Idaho (LCSW-40683) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1184153504
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameTIFFANY ROSE GRANTCredential: LCSW
Location Address2705 E 17TH STAmmon, ID 83406
Mailing Address2705 E 17th StAmmon, ID 83406-6601 · (208) 346-7500 · Fax (208) 346-7501
Phone(208) 346-7500
Fax(208) 346-7501
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 8, 2017
Last NPPES UpdateSeptember 17, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2021
✔ NPI 1184153504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in ID · LCSW-40683
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
2705 E 17TH ST, Ammon, ID 83406
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tiffany Rose Grant Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476953282
PECOS Enrollment IDI20210616001716
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tiffany Grant reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pearl Health Clinic
Same address
Mental Health
2705 E 17TH ST
Ammon, ID 83406
  • Reassigned Medicare billing, Idaho enrollment
  • 45 clinicians in this Medicare group
NPI 1447426465 (208) 346-7500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUMMER MANGELSON
Social Worker
2705 E 17TH ST
AMMON, ID 83406
Bonneville County (208) 346-7500
JAYDE BARNES PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2705 E 17TH ST
AMMON, ID 83406
Bonneville County (208) 346-7500
JODI LYNN DENNETT
Counselor (Mental Health)
2705 E 17TH ST
AMMON, ID 83406
Bonneville County (208) 346-7500
SARAH CLARK
Peer Specialist
2705 E 17TH ST
AMMON, ID 83406
Bonneville County (208) 346-7500
SIU LING CHI
Counselor (Professional)
2705 E 17TH ST
AMMON, ID 83406
Bonneville County (208) 346-7500
MRS. STEVIE N CLAXTON LMSW
Social Worker
2705 E 17TH ST
AMMON, ID 83406
Bonneville County (208) 346-7500
DANIELA UGARTE RODRIGUEZ
Counselor (Mental Health)
2705 E 17TH ST
AMMON, ID 83406
Bonneville County (208) 346-7500
COLIN WATERS
Counselor (Professional)
2705 E 17TH ST
AMMON, ID 83406
Bonneville County (208) 346-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Grant's NPI number?

The NPI number for Tiffany Grant is 1184153504. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Tiffany Grant located?

Tiffany Grant practices at 2705 E 17th St, Ammon, ID 83406. The listed phone number is (208) 346-7500.

What is Tiffany Grant's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Tiffany Grant enrolled in Medicare?

Yes. Tiffany Grant is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tiffany Grant's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Grant reassigns Medicare benefits to Pearl Health Clinic (Ammon, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tiffany Grant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Grant accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, Select Health and University of Utah Health Plans list Tiffany Grant as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tiffany Grant was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.