Active NPI
Maria Grimshaw-Clark, LCSW
- Clinical Social Worker
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904014250
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0904014250 | VA | MD | Clinical Social Worker |
| 16200 | AZ | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Gilbert Counselors, LLC | Past | 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
- 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.
-
- Mental Health Counselor
- Gilbert, AZ
- NPI 1366947558
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.