Provider Demographics
NPI:1992677462
Name:GRANT, ERIN NICOLE (LMSW)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:NICOLE
Last Name:GRANT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11318 YOUNGSTOUN DR APT 1504
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-8161
Mailing Address - Country:US
Mailing Address - Phone:240-501-6570
Mailing Address - Fax:
Practice Address - Street 1:9 SOUTHFIELD PL
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-3816
Practice Address - Country:US
Practice Address - Phone:410-900-7850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD33713104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker