Individual provider · Type 1 NPI

Jessica Mae Grantman, LCSW

Clinical Social Worker · Spring Lake Park, MN

NPI number 1689301863 Active

Practice location

7766 Highway 65 NE
Spring Lake Park, MN 55432-2832

Fax (612) 416-2085

Mailing address

2560 New Town Dr Apt 310
Sun Prairie, WI 53590-7082

Other practice locations

  • 122 E Olin Ave Ste 220, Madison, WI 53713-1482 · (608) 729-8696
  • 200 W Verona Ave, Verona, WI 53593-1394 · (608) 423-6797

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X9311-123 (WI)
Clinical Social Worker Primary 1041C0700X34485 (MN)

Clinical Social Worker: 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 interpers…

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About NPI 1689301863

Jessica Mae Grantman, LCSW's National Provider Identifier is 1689301863, issued on Aug 6, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Spring Lake Park, MN. The record was last updated on Aug 6, 2025.