Vintrica Victoria Grant
Social Worker, Clinical in Ceres, CA. Individual provider (NPI-1).
NPI number1497007652
StatusActive
Last updated in NPPESJul 21, 2026
Details
- NPI
- 1497007652
- Entity type
- Individual (NPI-1)
- Name
- Vintrica Victoria Grant
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 11, 2012
- Certification date
- Jul 21, 2026
- Last updated
- Jul 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW93627 | CA | Yes |
| 101YP2500X | Counselor, Professional | 36652 | CA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1904 Richland Ave Bldg FCeres, CA 95307-4562
Phone 209-613-6364
Mailing address
1320 Standiford Ave # 4-144Modesto, CA 95350-0726
Phone 209-622-7915
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