Jen Grimsley is a Clinical in Milford, Connecticut. Jen Grimsley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jen Grimsley is 1093901845. The last update date is 2007-09-14.
Jen Grimsley's current location address is 949 Bridgeport Ave, Milford, Connecticut. You can contact this provider via phone number 2038786365 and fax number 2038825390. The mailing address for Jen Grimsley is 949 Bridgeport Ave, Milford, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jen Grimsley |
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Address | 949 Bridgeport Ave, Milford, Connecticut |
Phone Number | 2038786365 |
Fax Number | 2038825390 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1093901845 |
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Provider Enumeration Date | 2007-09-14 |
Last Updated Date | 2007-09-14 |
Provider Mailing Address Detail
Address | 949 Bridgeport Ave |
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City | Milford |
State | Connecticut (CT) |
Post Code | 64603142 |
Phone Number | 2038786365 |
Fax Number | 2038825390 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 6533 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identifier code assigned to Jen Grimsley by the Centers for Medicare & Medicaid Services?
The Jen Grimsley has been issued the NPI (National Provider Identifier) 1093901845 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jen Grimsley?
The Jen Grimsley is situated at 949 Bridgeport Ave, in the city of Milford, state of CT, with the zip code 64603142.
What is the Jen Grimsley's area of specialization and corresponding taxonomy classification?
The Jen Grimsley's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1093901845 to Jen Grimsley?
The Centers for Medicare & Medicaid Services assigned the 1093901845 to Jen Grimsley on 2007-09-14.
As of what date were the details pertaining to Jen Grimsley last refreshed?
The information related to the Jen Grimsley, including its address, specialty, and other relevant details, was last updated on 2007-09-14.