Jennifer Cezar Grim, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009282 Issued in VA

Practice address

707 N Courthouse Rd
North Chesterfield, VA 23236-4045

Phone

(804) 721-9615

NPI assigned

Feb 25, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

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.

• Myspectrum LLC

  • Mental Health Counselor
  • North Chesterfield, VA
  • NPI 1174029359
  Medicare reassignment NPD

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683936000000",
    "number": "1326408907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15519 PRINCE GEORGE DR",
            "city": "DISPUTANTA",
            "state": "VA",
            "postal_code": "238424106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N COURTHOUSE RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232364045",
            "telephone_number": "804-721-9615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8401 Lake Worth Road",
            "address_2": "Suite 209",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "33467",
            "country_code": "US",
            "telephone_number": "804-721-9615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 SE 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334834516",
            "country_code": "US",
            "telephone_number": "561-266-8866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIM",
        "first_name": "JENNIFER",
        "middle_name": "CEZAR",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2023-05-13",
        "certification_date": "2023-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13462",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg Amodeo LLC
• Gregop Guided Support Services
• Kristi K Gregory, MS OTRL CHT
• Sabrina Branch Griffin, RN
• John C Griggs Jr.
• Chase William Grinnell, DPT
• William Michael Groben Jr., PHARM.D., RPH
• Tiana M Gross
• Theresa Michelle Grosse, LCSW
• Grove Psychological Services

• Clinical Social Worker in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.