Individual provider Active NPI

Holly Anne Grimm, LCSW

  • Clinical Social Worker
  • West Chester, PA
National Provider Identifier
1649245994
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014743 Issued in PA
Practice address
999 W Chester Pike
Suite B-1
West Chester, PA 19382-4877
Phone
(610) 429-4100
Fax
(610) 429-1570
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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 CW014743 PA Primary

Addresses

Primary practice location

999 W Chester Pike
Suite B-1
West Chester, PA 19382-4877

Mailing address

999 W Chester Pike
Suite B-1
West Chester, PA 19382-4877
Phone (610) 429-4100

Other names 1

  • Ms. Holly Anne Glatz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040908001351 PA Practitioner - Clinical Social Worker 8820064074 Practice locations: West Chester, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

999 W Chester Pike
Suite B 1
West Chester, PA 19382-4889
Phone (610) 429-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Collegeville Psychological Center Inc Clinical Past Accepting new patients
Penn Psychiatric Center Inc PastSince Aug 26, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEDIBA

Organizations & group practices 2

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1649245994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 W CHESTER PIKE",
            "address_2": "SUITE B-1",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824877",
            "telephone_number": "610-429-4100",
            "fax_number": "610-429-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 W CHESTER PIKE",
            "address_2": "SUITE B-1",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824877",
            "telephone_number": "610-429-4100",
            "fax_number": "610-429-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "HOLLY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "GLATZ",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.