Tim Griem, LISW
Individual provider Active NPI Clinical Social Worker · Manchester, IA
NPI 1689637696 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1689637696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 05233 (IA)
- Practice address
- 709 W Main St
Manchester, IA 52057-1526 - Phone
- (563) 927-7330
- Fax
- (563) 927-7409
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Covenant Family Solutions LLC
Practice addresses (Care Compare)
1655 Blairs Ferry Rd
Marion, IA 52302-3157
Phone (888) 336-9661
2346 Mormon Trek Blvd
Suite 1600
Iowa City, IA 52246-4372
Phone (319) 519-9031
2720 1St Ave NE
Suite 300
Cedar Rapids, IA 52402-4832
Phone (888) 336-9661
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110926000145 | IA | Practitioner - Clinical Social Worker | 6002087939 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05233 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Family Solutions, LLC | Current |
Accepting new patients | |
| Delaware County Memorial Hospital | Past | Accepting new patients | |
| Horizons, a Family Service Alliance | Past |
Accepting new patients |
Locations
2720 1st Ave NE
Ste 300
Cedar Rapids, IA 52402
Phone (319) 200-5104
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 05233 | IA | Yes |
Addresses
Primary practice location
709 W Main St
Manchester, IA 52057-1526
Mailing address
709 W Main St
Manchester, IA 52057-1526
Phone (563) 927-7330
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0091637 | Medicaid | IA | |
| 231737 | Other | IA | MIDLANDS |
| 09971 | Other | IA | BCIA |
| IA0127 | Other | IA | JOHN DEERE |
Other providers in Manchester, IA
- Good Neighbor Society
- Kellie J Goos
- Rhonda Gotto
- Leisa Ann Graves
- Anthony Robert Greenwood
- Hope Marie Gruman
- Stephanie Gudenkauf
- Sarah Jean Hartman
- Jane A Hartnett
- Tonya J Hasleiet
All providers in Manchester, IA · Clinical Social Worker in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.