Provider Demographics
NPI:1518686161
Name:GRANT, DARIO EDWARD (ASW)
Entity Type:Individual
Prefix:MR
First Name:DARIO
Middle Name:EDWARD
Last Name:GRANT
Suffix:
Gender:M
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:633 W. 5TH STREET
Mailing Address - Street 2:26TH FLOOR
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90071
Mailing Address - Country:US
Mailing Address - Phone:213-223-2026
Mailing Address - Fax:888-704-1775
Practice Address - Street 1:633 W. 5TH STREET
Practice Address - Street 2:26TH FLOOR
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90071
Practice Address - Country:US
Practice Address - Phone:213-223-2026
Practice Address - Fax:888-704-1775
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-25
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW108627104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker