Samantha Grimes in Broomall - Clinical

Samantha Grimes - NPI 1396837084

Samantha Grimes is a Clinical in Broomall, Pennsylvania. Samantha Grimes practices all healthcare services and medical treatments related to Clinical. The NPI Number for Samantha Grimes is 1396837084. The last update date is 2009-11-20.

Samantha Grimes's current location address is 815 Paxon Hollow Rd, Broomall, Pennsylvania. You can contact this provider via phone number 6107244973. The mailing address for Samantha Grimes is 815 Paxon Hollow Rd, Broomall, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Samantha Grimes
Address 815 Paxon Hollow Rd, Broomall, Pennsylvania
Phone Number 6107244973
Fax Number
Sole Proprietor N
Credentials MSW, LCS

NPI Number Detail

NPI Number 1396837084
Provider Enumeration Date 2006-09-29
Last Updated Date 2009-11-20

Provider Mailing Address Detail

Address 815 Paxon Hollow Rd
City Broomall
State Pennsylvania (PA)
Post Code 190083421
Phone Number 6107244973
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No CW016380
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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FAQs about Samantha Grimes

What is the Samantha Grimes's unique identification number?

The Samantha Grimes has been assigned the NPI (National Provider Identifier) Number 1396837084 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Samantha Grimes is geographically located?

The Samantha Grimes is physically situated at the following location: 815 Paxon Hollow Rd, Broomall, PA, 190083421.

What is Samantha Grimes's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Samantha Grimes is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date did the Samantha Grimes receive its 1396837084 assignment from the Centers for Medicare & Medicaid Services?

The Samantha Grimes was assigned its 1396837084 by the Centers for Medicare & Medicaid Services on 2006-09-29.

As of what date was the information regarding Samantha Grimes, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Samantha Grimes, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-11-20.

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