Jamie Leigh Grimes, LCSW
Individual provider Active NPI Clinical Social Worker · Villas, NJ
NPI 1972884518 · NPPES record last updated Sep 8, 2011
Key facts
- NPI
- 1972884518
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SCO5400600 (NJ)
- Practice address
- 899 Bayshore Rd
Villas, NJ 08251-2780 - Phone
- (609) 886-8666
- NPI assigned
- Sep 8, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Meditelecare of New Jersey LLC
Practice addresses (Care Compare)
100 Charles Ewing Blvd
Ewing, NJ 08628-3454
Phone (860) 788-6404
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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 |
|---|---|---|---|---|
| I20150904000182 | NJ | Practitioner - Clinical Social Worker | 1153637269 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SCO5400600 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamie Grimes, LCSW Equilibrium LLC | Clinical | Current |
Accepting new patients |
| Meditelecare of New Jersey LLC | Clinical | Current |
Accepting new patients |
Locations
100 Charles Ewing Blvd
Ste 160
Trenton, NJ 08628
Phone (212) 878-7685
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SCO5400600 | NJ | Yes |
Addresses
Primary practice location
899 Bayshore Rd
Villas, NJ 08251-2780
Mailing address
899 Bayshore Rd
Villas, NJ 08251-2780
Phone (609) 886-8666
Other providers in Villas, NJ
- Families Matter, LLC
- Families Matter, LLC
- Mary Lou Fricke-Neal
- Kathryn Ann Gibson
- Francienna Grant
- Joyce Hand
- Jennifer Hickok
- Thomas Patrick Hoban
- Katherine Elizabeth Jones
- Linda Louise Kampmeier
All providers in Villas, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2011. 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.