Erica Grim, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW133862 Issued in PA

Practice address

50 W Main St
Uniontown, PA 15401-3309

Phone

(724) 439-9698

NPI assigned

Sep 23, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Stacey Renee Tesauro Inc.Group PAC ID 4880049782, 3 clinicians

Ember and Bloom Health and Wellness LLCGroup PAC ID 5890271209, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Ember & Bloom Health and Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Uniontown, PA
  • NPI 1780559104
  Medicare reassignment Care Compare group NPD Authorized official
• Stacey Renee Tesauro Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Uniontown, PA
  • NPI 1194425603
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1265981815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 LONGSITE DR APT 34",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154019439",
            "telephone_number": "724-963-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W MAIN ST",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013309",
            "telephone_number": "724-439-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIM",
        "first_name": "ERICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW133862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Lynn Greenwood, LPC
• Kenneth C Greep, L.AC.
• Jared Gregor, BS
• Amber Griedel, CRNP
• Cordessa Griglack
• Jennifer Grim, OTD, OTR/L
• Linda I Grinstead, MS, OTR/L
• Lauren Gross
• Melissa Mooers Gross, BS, PHARMD, MHA
• Cheri Grubbs

• Social Worker in Uniontown, PA
• Providers in Uniontown, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.