Mr Scott Randall Grim, LISW, LICDC is a
Social Worker based in Newark, Ohio. Mr Scott Randall Grim is licensed to practice in Ohio (license number I.0500057.SPV) and his current practice location is
1445 W Main St, Newark, Ohio. He can be reached at his office (for appointments etc.) via phone at
(513) 834-7063.
NPI number for Mr Scott Randall Grim is 1306983341 and his current mailing address is 615 Elsinore Pl Ste 200, Cincinnati, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306983341.
Healthcare Provider's Profile
| Full Name | Mr Scott Randall Grim |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 1445 W Main St, Newark, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1306983341
- Provider Enumeration Date: 01/31/2007
- Last Update Date: 02/24/2021
Medical Identifiers
Medical identifiers for Mr Scott Randall Grim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306983341 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 976250 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | 10500057 (Ohio) | Secondary |
| 104100000X | Social Worker | I.0500057.SPV (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Scott Randall Grim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Scott Randall Grim, LISW, LICDC
615 Elsinore Pl Ste 200,
Cincinnati, OH 45202-1457
Ph: (513) 834-7063 | Mr Scott Randall Grim, LISW, LICDC
1445 W Main St,
Newark, OH 43055-1989
Ph: (513) 834-7063 |
Reviews and Comments