Individual provider Active NPI

Cynthia S Grintjes, LCSW

  • Clinical Social Worker
  • West Bend, WI
National Provider Identifier
1992444665
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
132734 Issued in WI
Practice address
333 E Washington St Ste 2100
West Bend, WI 53095-2503
Phone
(262) 335-4600
Fax
(262) 335-6827
NPI assigned
Jun 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 132734 WI Primary

Addresses

Primary practice location

333 E Washington St Ste 2100
West Bend, WI 53095-2503

Mailing address

333 E Washington St Ste 2100
West Bend, WI 53095-2503
Phone (262) 335-4600

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240806002821 WI Practitioner - Clinical Social Worker 1355888561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington County WisconsinGroup PAC ID 1951202142, 10 clinicians

Practice addresses (Care Compare)

333 E Washington St
Suite 2100
West Bend, WI 53095-2503
Phone (262) 335-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
132734WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Wisconsin CurrentSince Jul 1, 2024 Accepting new patients

Locations

333 E Washington St
Ste 2100
West Bend, WI 53095
Phone (262) 335-4545

333 E Washington St
West Bend, WI 53095
Phone (262) 335-4583

Organizations & group practices 1

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": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1992444665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E WASHINGTON ST STE 2100",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530952503",
            "telephone_number": "262-335-4600",
            "fax_number": "262-335-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E WASHINGTON ST STE 2100",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530952503",
            "telephone_number": "262-335-4600",
            "fax_number": "262-335-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINTJES",
        "first_name": "CYNTHIA",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "132734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NONE",
            "affiliation": "N",
            "endpointDescription": "NONE",
            "address_1": "333 E Washington St Ste 2100",
            "city": "West Bend",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530952503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

Verify at the official NPI Registry.