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

Individual provider Clinical Social Worker · NPI 1942807771

Scott Grandt, MSW, LICSW is a Clinical Social Worker in Woodbury, Minnesota. Qualified in 2017, 9 years ago. Practices with Affinity Psychological Services PC, a 64-clinician group. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2020
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

659 Bielenberg Dr Ste 200
Woodbury, MN 55125-1717
Phone: (651) 259-9700
Fax: (651) 259-9780
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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 26442 (MN)

Record details

NPI number1942807771
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedOctober 5, 2020
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Affinity Psychological Services Pc — 64 clinicians
Accepts Medicare assignment Not indicated

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