Active NPI
Daniel Franklin Grimsley, LGSW
- Social Worker
- Upper Marlboro, MD
National Provider Identifier
1336731496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LG50083306
- Practice address
- 1628 Fernwood Dr Uppr Marlboro
Upper Marlboro, MD 20774-2460 - Phone
- (334) 441-6129
- NPI assigned
- Feb 9, 2021
- Last updated
- Feb 9, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LG50083306 | DC | Primary |
Addresses
Primary practice location
1628 Fernwood Dr Uppr Marlboro
Upper Marlboro, MD 20774-2460
Mailing address
1628 Fernwood Dr Uppr Marlboro
Upper Marlboro, MD 20774-2460
Phone (334) 441-6129
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG50083306 | DC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1336731496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1628 FERNWOOD DR UPPR MARLBORO",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207742460",
"telephone_number": "334-441-6129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1628 FERNWOOD DR UPPR MARLBORO",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207742460",
"telephone_number": "334-441-6129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMSLEY",
"first_name": "DANIEL",
"middle_name": "FRANKLIN",
"name_prefix": "Mr.",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-09",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "LG50083306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.