Sandra Eileen Grimes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

11211 Taylor Draper LN Ste 202
Austin, TX 78759-3971

Phone

(512) 964-9666

NPI assigned

Jan 11, 2017

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

State licenses

Practice roles

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

• PM Management - Cedar Park NC LLC

  • Skilled Nursing Facility
  • Cedar Park, TX
  • NPI 1548527963
  NPD (past)

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1679019954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 TAYLOR DRAPER LN STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593971",
            "telephone_number": "812-964-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 TAYLOR DRAPER LN STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593971",
            "telephone_number": "512-964-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "SANDRA",
        "middle_name": "EILEEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew E Grimes, MD
• Darla A Grimes, RN, FNP-C
• Emma Grimes
• Maureen Grimes, MA, LPC
• Michelle McCuan Grimes, PA-C
• Shelby Grimes
• Elizabeth M. Grimm, DDS
• Sarah C Grimmer, DNP, APRN, FNP
• Beverly A Grimshaw, MD
• Colleen Ann Grinberg, LCSW

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.