Individual
TRENTON GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
4600 LIVINGSTON RD SE, WASHINGTON, DC 20032-3136
(904) 742-3536
Mailing address
4600 LIVINGSTON RD SE, WASHINGTON, DC 20032-3136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LG200004461
DC
1041S0200X
School Social Worker
Primary
LG200004461
DC
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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