Jack Siler Grimes in Suffolk - Clinical

Jack Siler Grimes - NPI 1467511295

Jack Siler Grimes is a Clinical in Suffolk, Virginia. Jack Siler Grimes practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jack Siler Grimes is 1467511295. The last update date is 2007-07-09.

Jack Siler Grimes's current location address is 9016 River Cres, Suffolk, Virginia. You can contact this provider via phone number 7572382038 and fax number 7572382038. The mailing address for Jack Siler Grimes is 9016 River Cres, Suffolk, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack Siler Grimes
Address 9016 River Cres, Suffolk, Virginia
Phone Number 7572382038
Fax Number 7572382038
Sole Proprietor N
Credentials L.C.S.W.

NPI Number Detail

NPI Number 1467511295
Provider Enumeration Date 2006-12-07
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 9016 River Cres
City Suffolk
State Virginia (VA)
Post Code 234331304
Phone Number 7572382038
Fax Number 7572382038

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 904000386
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 Jack Siler Grimes

What is the unique identifier code issued to Jack Siler Grimes by the Centers for Medicare & Medicaid Services (CMS)?

The Jack Siler Grimes has been assigned the NPI (National Provider Identifier) 1467511295. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Jack Siler Grimes's facilities are geographically located?

The facilities of Jack Siler Grimes are physically situated at the following location: 9016 River Cres, Suffolk, VA, 234331304.

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

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

On what date did the Centers for Medicare & Medicaid Services issue the 1467511295 to Jack Siler Grimes?

The Jack Siler Grimes received its 1467511295 assignment from the Centers for Medicare & Medicaid Services on 2006-12-07.

When was the information regarding Jack Siler Grimes, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jack Siler Grimes, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.

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