NPIMap

Individual provider Active NPI

Nakkia N Grimes, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1194168278
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008123 Issued in VA
Practice address
4099 Foxwood Dr Ste 200
Virginia Beach, VA 23462
Phone
(757) 467-8184
Fax
(757) 467-2485
NPI assigned
Apr 9, 2013
Last updated
Dec 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904008123 VA Primary

Addresses

Primary practice location

4099 Foxwood Dr Ste 200
Virginia Beach, VA 23462

Mailing address

2551 Eltham Ave
Ste F
Norfolk, VA 23513-2505
Phone (757) 622-0700

Other practice location 1

707 Gittings St Ste 100
Suffolk, VA 23434-6101
Phone (757) 325-9572

Other practice location 2

3212 Churchland Blvd Ste 6
Chesapeake, VA 23321-5262
Phone (757) 325-9572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Life's Journey Support Services PastSince Dec 23, 2020 Accepting new patients
National Counseling Group, Inc Past Accepting new patients
National Counseling Group, Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1194168278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 ELTHAM AVE",
            "address_2": "STE F",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132505",
            "telephone_number": "757-622-0700",
            "fax_number": "757-622-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4099 FOXWOOD DR STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23462",
            "telephone_number": "757-467-8184",
            "fax_number": "757-467-2485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 Gittings St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234346101",
            "country_code": "US",
            "telephone_number": "757-325-9572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3212 Churchland Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233215262",
            "country_code": "US",
            "telephone_number": "757-325-9572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "NAKKIA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.