Individual provider Active NPI

Sherry Grimes, MA, LMSW

  • Clinical Social Worker
  • Jamaica, NY
National Provider Identifier
1992953293
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090760 Issued in NY
Practice address
16318 Jamaica Ave
6TH Floor
Jamaica, NY 11432-4901
Phone
(718) 206-3440
NPI assigned
Aug 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 076410-1 NY
Clinical Social Worker 1041C0700X NY
Clinical Social Worker 1041C0700X 090760 NY Primary

Addresses

Primary practice location

16318 Jamaica Ave
6TH Floor
Jamaica, NY 11432-4901

Mailing address

163-18 Jamaica Ave
6TH Floor
Jamaica, NY 11432
Phone (718) 206-3440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
076410-1NYMDClinical Social Worker
090760NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC CurrentSince May 4, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince May 4, 2024 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince May 4, 2024 Accepting new patients
Bronx Medical Practice P.C. CurrentSince May 4, 2024 Accepting new patients
Shakespeare Operating LLC CurrentSince May 4, 2024 Accepting new patients

Locations

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Organizations & group practices 5

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": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1992953293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163-18 JAMAICA AVE",
            "address_2": "6TH FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-206-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16318 JAMAICA AVE",
            "address_2": "6TH FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324901",
            "telephone_number": "718-206-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "SHERRY",
        "name_prefix": "Ms.",
        "credential": "MA, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076410-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.