Individual provider Active NPI

Maria Grimshaw-Clark, LCSW

  • Clinical Social Worker
  • Newport News, VA
National Provider Identifier
1821157645
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904014250 Issued in VA
Practice address
1 Old Oyster Point Rd Ste 250
Newport News, VA 23602-7149
Phone
(757) 969-6848
Fax
(757) 969-6849
NPI assigned
Dec 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16200 AZ
Clinical Social Worker 1041C0700X 0904014250 VA Primary

Addresses

Primary practice location

1 Old Oyster Point Rd Ste 250
Newport News, VA 23602-7149

Mailing address

1 Old Oyster Point Rd Ste 250
Newport News, VA 23602-7149
Phone (757) 969-6848

Other practice location 1

990 Villa St
Mountain View, CA 94041-1236
Phone (888) 688-9296

Other practice location 2

1425 W Elliot Rd Ste 201
Gilbert, AZ 85233-5142
Phone (480) 223-0223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20251231002384 AZ Practitioner - Clinical Social Worker 7012011570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904014250VAMDClinical Social Worker
16200AZMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Mar 1, 2025 Accepting new patients
Gilbert Counselors, LLC PastSince Jan 1, 2024 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Interoperability endpoints

  • Direct secure messaging: maria.grimshaw.1@24259.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1821157645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OLD OYSTER POINT RD STE 250",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236027149",
            "telephone_number": "757-969-6848",
            "fax_number": "757-969-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OLD OYSTER POINT RD STE 250",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236027149",
            "telephone_number": "757-969-6848",
            "fax_number": "757-969-6849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "990 Villa St",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940411236",
            "country_code": "US",
            "telephone_number": "888-688-9296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 W Elliot Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852335142",
            "country_code": "US",
            "telephone_number": "480-223-0223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMSHAW-CLARK",
        "first_name": "MARIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "16200",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.