Lakendra Grimes, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

400 Office Park Dr Ste 308
Mountain BRK, AL 35223-3411

Phone

(205) 975-9140

NPI assigned

Nov 29, 2021

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)

Enrolled

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1558028381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 20TH ST N STE 157",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352033601",
            "telephone_number": "314-662-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 OFFICE PARK DR STE 308",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352233411",
            "telephone_number": "205-975-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "LAKENDRA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Counseling Service
• Grace Eckford Grantier, CRNP
• Jane Harden Greene
• Nancy Enger Gregg, M.S., CCC-SLP, LSLS
• Hayden Griffin, LAT, ATC
• Jessica N Grogan, LICSW-S
• Katie Grubbs, PHARMD
• Leah Margaret Guarisco, PA-C
• Cheryl Guthrie, PA-C
• Rachel Hamm, RN, BSN, NTP

• Clinical Social Worker in Mountain BRK, AL
• Providers in Mountain BRK, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.