Nam Vo Grimaldi, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

075586 Issued in NY

Practice address

63 Walnut Ave
East Norwich, NY 11732-1415

Phone

(917) 848-3435

NPI assigned

Nov 30, 2011

Last updated

Apr 7, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1598032930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 WALNUT AVE",
            "city": "EAST NORWICH",
            "state": "NY",
            "postal_code": "117321415",
            "telephone_number": "917-848-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 WALNUT AVE",
            "city": "EAST NORWICH",
            "state": "NY",
            "postal_code": "117321415",
            "telephone_number": "917-848-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMALDI",
        "first_name": "NAM",
        "middle_name": "VO",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristie M Fazio, MS, CCC-SLP
• Patricia Anne Gallo, P.T.
• Vincent Giambanco III, RPH, MS, CGP
• Joseph Dennis Giardina, MD
• Kara Joan Gibbons
• Arif Hameed, MD
• Jessica Hampton
• Harmony Heights School
• Nicole Henn
• Christine C Hunter, RN LCSW

• Clinical Social Worker in East Norwich, NY
• Providers in East Norwich, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.