Janet Cheryl Grinis, LCSW
Individual provider Active NPI Clinical Social Worker · Madawaska, ME
NPI 1720110943 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720110943
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC5677 (ME)
- Practice address
- 165 13TH Ave
Madawaska, ME 04756-1289 - Phone
- (207) 834-4470
- Fax
- (207) 834-4473
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kennebec Valley Mental Health Center
Practice addresses (Care Compare)
66 Stone St
Augusta, ME 04330-5227
Phone (207) 626-3455
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- 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 |
|---|---|---|---|---|
| I20081209000747 | ME | Practitioner - Clinical Social Worker | 1759442759 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC5677 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Micmac Health Department | Past |
Accepting new patients | |
| Carlos G. Otis Health Care Center Inc. | Past | Accepting new patients | |
| Life by Design, PA | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC5677 | ME | Yes |
Addresses
Primary practice location
165 13TH Ave
Madawaska, ME 04756-1289
Mailing address
165 13TH Ave
Madawaska, ME 04756-1289
Phone (207) 834-4470
Other providers in Madawaska, ME
- Edith A. Dow
- Fish River Rural Health
- Fish River Rural Health
- Fish River Rural Health
- John L. Gonneville
- Carson A. Hartman
- Heather A Hartman
- Amy Nicole Hebert
- Nelson David Henry
- High View Manor
All providers in Madawaska, ME · Clinical Social Worker in Maine
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.