John W Grimm is a Clinical in South Burlington, Vermont. John W Grimm practices all healthcare services and medical treatments related to Clinical. The NPI Number for John W Grimm is 1275690158. The last update date is 2011-05-11.
John W Grimm's current location address is 1025 Airport Dr, South Burlington, Vermont. You can contact this provider via phone number 8024887711. The mailing address for John W Grimm is 1025 Airport Dr, South Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John W Grimm |
|---|---|
| Address | 1025 Airport Dr, South Burlington, Vermont |
| Phone Number | 8024887711 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1275690158 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2011-05-11 |
Provider Mailing Address Detail
| Address | 1025 Airport Dr |
|---|---|
| City | South Burlington |
| State | Vermont (VT) |
| Post Code | 54036013 |
| Phone Number | 8024887711 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 089-0000937 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1014186 | VT | -- |
Post Comment/ Review Below
What is the John W Grimm's 1275690158?
The John W Grimm's NPI (National Provider Identifier) Number is 1275690158. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where John W Grimm's facilities are geographically located?
The facilities of John W Grimm are physically situated at the following location: 1025 Airport Dr, South Burlington, VT, 54036013.
What is the John W Grimm's specialty and taxonomy code?
The John W Grimm's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did the John W Grimm receive its 1275690158?
The John W Grimm was issued its 1275690158 on 2007-01-02, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to John W Grimm, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John W Grimm, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-05-11.