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Individual
DR. GRANT PIKE
Active
Individual
DR. GRANT PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DSW, LICSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
224419
MA
1041C0700X
Clinical Social Worker
Primary
123398
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123398
CLINICAL SOCIAL WORKER
MA
05
—
123398
—
MA
Enumeration date
03/19/2013
Last updated
04/28/2026
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