Carole August Grigg in Montesano - Clinical

Carole August Grigg - NPI 1548307879

Carole August Grigg is a Clinical in Montesano, Washington. Carole August Grigg practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carole August Grigg is 1548307879. The last update date is 2007-07-08.

Carole August Grigg's current location address is 138 South First Street, Montesano, Washington. You can contact this provider via phone number 3602495266 and fax number 3602495266. The mailing address for Carole August Grigg is 138 South First Street, Montesano, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Carole August Grigg
Address 138 South First Street, Montesano, Washington
Phone Number 3602495266
Fax Number 3602495266
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1548307879
Provider Enumeration Date 2007-01-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 138 South First Street
City Montesano
State Washington (WA)
Post Code 985633623
Phone Number 3602495266
Fax Number 3602495266

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LW00006268
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
93422281400003 WA PREMERA BLUE CROSS NATION
QMXPR0055747 WA MOLINAHEALTH CARE
228140228139 WA PREMERA BLUE CROSS
PIN0007434031 AETNA
8910383 WA DEPT OF LABOR & INDUSTRIE

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FAQs about Carole August Grigg

What is the unique 10-digit identifier code assigned to Carole August Grigg by the Centers for Medicare & Medicaid Services?

The Carole August Grigg has been issued the NPI (National Provider Identifier) 1548307879 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 Carole August Grigg?

The Carole August Grigg is situated at 138 South First Street, in the city of Montesano, state of WA, with the zip code 985633623.

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

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

On what date was the 1548307879 assigned to Carole August Grigg?

The Carole August Grigg was issued its 1548307879 on 2007-01-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Carole August Grigg most recently updated or revised?

The information pertaining to Carole August Grigg, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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