Kimberley Grimes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008145 Issued in VA

Practice address

8500 Executive Park Ave Ste 204
Fairfax, VA 22031-2253

Phone

(443) 415-4482

NPI assigned

Aug 19, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1538568100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22809 BREEZY HOLLOW DR",
            "city": "BRAMBLETON",
            "state": "VA",
            "postal_code": "201485737",
            "telephone_number": "443-415-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 EXECUTIVE PARK AVE STE 204",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312253",
            "telephone_number": "443-415-4482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Pidgeon Hill Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201656146",
            "country_code": "US",
            "telephone_number": "443-415-4482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "KIMBERLEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Perry Griffith, M.S., C.C.C.-S.L.P.
• Sara Griffiths, MA CCC-SLP
• Wei Shen Dai Griggs, MD
• Lindsey Fitzgerald Grilliot, PT
• Lynn Grillo, NP
• Jennifer Grimley
• Jenna Emily Grimm, LNP
• Samuel Oliver Grimm III, M.D.
• John Robert Grimsley
• Diane Marie Grinage, M.A., M.S. - CCC/SLP

• Clinical Social Worker in Fairfax, VA
• Providers in Fairfax, 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 2, 2019; 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.