JESSICA MAE GRANTMAN LCSW
NPI 1689301863
Social Worker - Clinical in Spring Lake Park, MN

Active since August 06, 2022Opted out of Medicare · through Mar 4, 2028
7766 HIGHWAY 65 NE, SPRING LAKE PARK, MN 55432(763) 205-4843(612) 416-2085 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2025, Nov 8, 2023, Aug 6, 2022 (3 updates tracked since 2022).

About Jessica Mae Grantman Lcsw NPPES

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

JESSICA MAE GRANTMAN LCSW (NPI 1689301863) is an individual clinical provider in Spring Lake Park, Minnesota, licensed in Minnesota (34485) and active in the NPI registry since August 2022. She has opted out of Medicare through March 4, 2028 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689301863
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA MAE GRANTMANCredential: LCSW
Location Address7766 HIGHWAY 65 NESpring Lake Park, MN 55432-2832
Mailing Address2560 New Town Dr Apt 310Sun Prairie, WI 53590-7082 · (608) 729-8696 · Fax (608) 403-3464
Fax(612) 416-2085
Sole ProprietorYes
Enumeration DateAugust 6, 2022
Last NPPES UpdateAugust 6, 20253 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
NPI 1689301863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in MN · 34485 Licensed in WI · 9311-123
Definition

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.

7766 HIGHWAY 65 NE, Spring Lake Park, MN 55432

Secondary Practice Locations 2

Location 1122 E Olin Ave Ste 220Madison, WI 53713-1482 · Phone (608) 729-8696 · Fax (608) 403-3464
Location 2200 W Verona AveVerona, WI 53593-1394 · Phone (608) 423-6797

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jessica Mae Grantman Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 4, 2024 through March 4, 2028.

Opt-Out Effective DateMarch 4, 2024
Opt-Out In Effect ThroughMarch 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Counselor (Addiction (Substance Use Disorder))
7766 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432
Counselor (Addiction (Substance Use Disorder))
7766 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432
Counselor (Addiction (Substance Use Disorder))
7766 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432
Dentist (General Practice)
7766 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432
Clinic/Center (Methadone)
7766 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432
Counselor (Addiction (Substance Use Disorder))
7766 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432
Counselor (Addiction (Substance Use Disorder))
7766 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432
Counselor (Addiction (Substance Use Disorder))
7766 HIGHWAY 65 NE
SPRING LAKE PARK, MN 55432

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 Jessica Grantman's NPI number?

The NPI number for Jessica Grantman is 1689301863. It was assigned to this individual provider in the NPPES registry on August 6, 2022.

Where is Jessica Grantman located?

Jessica Grantman practices at 7766 Highway 65 NE, Spring Lake Park, MN 55432. The listed phone number is (763) 205-4843.

What is Jessica Grantman's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jessica Grantman enrolled in Medicare?

No. Jessica Grantman has opted out of Medicare through March 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jessica Grantman accept?

Health plans from HealthPartners, Medica, Providence Health Plan and UnitedHealthcare list Jessica Grantman 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 Jessica Grantman was last updated on August 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.