Kathleen Grimard, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS18986 Issued in CA

Practice address

2727 Camino del Rio S
Suite 150
San Diego, CA 92108-3750

Phone

(619) 733-8337

Fax

(619) 546-6030

NPI assigned

Jan 15, 2007

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

State licenses

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1700937885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 WARING RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921201850",
            "telephone_number": "619-733-8337",
            "fax_number": "619-546-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 CAMINO DEL RIO S",
            "address_2": "SUITE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083750",
            "telephone_number": "619-733-8337",
            "fax_number": "619-546-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMARD",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS18986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felipe Humberto Grimaldo Jr., M.D.
• Gabriela Grimaldo
• Robert Grimaldo
• Valerie Grimaldo
• Yesenia Grimaldo
• Amanda L Grimes
• Chelsey Elizabeth Grimes, M.A., CCC-SLP
• Kelly Elizabeth Grimes, DPT
• Rachel Grimes
• Areli Grimm

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.