Individual provider Active NPI

Elizabeth Grimshaw, LMSW

  • Clinical Social Worker
  • Grand Blanc, MI
National Provider Identifier
1538720925
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801104943 Issued in MI
Practice address
7227 Fenton Rd
Grand Blanc, MI 48439-8961
Phone
(810) 771-4074
NPI assigned
Jun 26, 2019
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801104943 MI Primary

Addresses

Primary practice location

7227 Fenton Rd
Grand Blanc, MI 48439-8961

Mailing address

7227 Fenton Rd
Grand Blanc, MI 48439-8961
Phone (107) 714-0748

Other names 1

  • Elizabeth Clements Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20231031003779 MI Practitioner - Clinical Social Worker 8022464759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crescent CounselingGroup PAC ID 5991242604, 2 clinicians

Practice addresses (Care Compare)

10683 S Saginaw St
Suite B
Grand Blanc, MI 48439-8127
Phone (810) 223-3649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801104943MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent Counseling CurrentSince Apr 21, 2024 Accepting new patients
Crescent Counseling Social Worker Current Accepting new patients
Giesken Counseling Services LLC PastSince Nov 6, 2022 Accepting new patients

Locations

10683 S Saginaw St
Ste B
Grand Blanc, MI 48439
Phone (810) 694-3576

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1538720925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 FENTON RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398961",
            "telephone_number": "107-714-0748",
            "fax_number": "810-866-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 FENTON RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398961",
            "telephone_number": "810-771-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMSHAW",
        "first_name": "ELIZABETH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801104943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CLEMENTS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.