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

Q: 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.

Q: What is Tiffany Grant's specialty?

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

Q: 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 4 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.

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: August 16, 2026.

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

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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 Providence Health Plan, Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

JAYDE BARNES PMHNP

Nurse Practitioner (Psychiatric/Mental Health)