Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chantelle Grant, LCSW

Individual provider Clinical Social Worker · NPI 1780855312

Chantelle Grant, LCSW is a Clinical Social Worker in Port Charlotte, Florida. Qualified in 2004, 22 years ago. Practices with Jose M Gonzalez-Canal P A, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
22
Licensed in
FL
In the registry since
2008
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3782 Tamiami Trl Ste A
Port Charlotte, FL 33952-8308
Phone: (941) 629-7855
Fax: (941) 629-9589
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW8993 (FL)

Record details

NPI number1780855312
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 24, 2008
Last updated in NPPESDecember 12, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Jose M Gonzalez-Canal P A — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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