Amy Grimaldi LCSW PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

AMY GRIMALDI LCSW PA

Practice address

110 E Reynolds St Ste 803
Plant City, FL 33563-3371

Phone

(203) 536-7005

NPI assigned

Feb 15, 2024

Last updated

Feb 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Grimaldi

Title

Owner

Phone

(203) 536-7005

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1417712787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E REYNOLDS ST STE 803",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633371",
            "telephone_number": "203-536-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E REYNOLDS ST STE 803",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633371",
            "telephone_number": "203-536-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY GRIMALDI LCSW PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "GRIMALDI",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-536-7005"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Plant City, FL
• Providers in Plant City, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.