JACQUELINE MARIE GRIMM (NPI# 1679185029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679185029 |
| Entity Type | Individual |
| Full Name | JACQUELINE MARIE GRIMM |
| Credential | MSW, APSW |
| Practice Address |
1615 Maple Ln Ashland WI 54806-3689 |
| Practice Telephone | 7156855373 |
| Practice Fax Number | 7156820171 |
| Mailing Telephone | 7156855373 |
| Mailing Fax Number | 7156820171 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 129595 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269023 | Jacqueline Kay Grimm | Technician | 1010 Olive St, Parkersburg, WV 26101-6549 | 2020-09-10 |
| 1245892645 | Jacqueline Agnes Grimm | Optometrist | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2019-07-05 |
| Street Address |
1615 MAPLE LN |
| City | ASHLAND |
| State | WI |
| Zip Code | 54806-3689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710973508 | Laura K Fortner | Specialist | 1615 Maple Ln, Suite 1, Ashland, WI 54806-3610 | 2005-09-27 |
| 1669097358 | Kelsey E Larson | Dietitian, Registered | 1615 Maple Ln, Ashland, WI 54806-3689 | 2020-06-09 |
| 1003440967 | Barbara E Jusula | Registered Nurse | 1615 Maple Ln, Ashland, WI 54806-3626 | 2020-02-28 |
| 1841853611 | Paul Michael Kasper | Physician Assistant | 1615 Maple Ln, Ashland, WI 54806-3626 | 2019-04-17 |
| 1770047235 | Ashley Elizabeth Runge | Dietitian, Registered | 1615 Maple Ln, Ashland, WI 54806-3689 | 2019-01-29 |
| 1093220089 | Thomas William Jorgensen | Nurse Anesthetist, Certified Registered | 1615 Maple Ln, Ashland, WI 54806-3626 | 2017-12-12 |
| 1033664719 | Melissa Jean Malmberg | Nurse Practitioner | 1615 Maple Ln, Ashland, WI 54806-3610 | 2016-08-23 |
| 1922488279 | Jenelle Elza | Registered Nurse | 1615 Maple Ln, Ashland, WI 54806-3610 | 2015-06-02 |
| 1811329006 | David L Mischel | Nurse Practitioner | 1615 Maple Ln, Ashland, WI 54806-3610 | 2013-07-30 |
| 1467894154 | Memorial Medical Center Inc | Non-Pharmacy Dispensing Site | 1615 Maple Ln, Ashland, WI 54806-3610 | 2013-07-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992236525 | Robin Jurgensen | Counselor | 1619 W Third Street, Ashland, WI 54806 | 2017-03-24 |
| 1922479195 | Alexa M Honstad | Registered Nurse | Memorial Medical Center, Inc, 1615 Maple Lane, Ashland, WI 54806 | 2015-10-14 |
| 1982032728 | Noel Hong | Pharmacist | 1800 Us Highway 2, Ashland, WI 54806 | 2013-10-14 |
| 1588909402 | Kelli Danielle Culver | Registered Nurse | 216 3rd St W Ste 201, Ashland, WI 54806 | 2012-12-04 |
| 1114191756 | Karen Keyes | Occupational Therapist | 1635 Maple Lane, Behavioral Health Services, Ashland, WI 54806 | 2008-04-15 |
| 1174645204 | Michael Allyn Turgeon | Social Worker | 517 Beaser Avenue, Ashland, WI 54806 | 2007-04-06 |
| 1770669269 | Laura Anton Ia Nitsche | Speech-Language Pathologist | 618 Beaser Avenue, Ashland, WI 54806 | 2006-10-27 |
| 1104915222 | Patrick Alan Hickman | Chiropractor | 400 East Lakeshore Drive, Ashland, WI 54806 | 2006-10-12 |
| 1386732113 | Janet Lee Sternat | Physical Therapist | 618 Beaser Ave, Cesa #12, Ashland, WI 54806 | 2006-10-10 |
| 1295743193 | Ashland Dental Clinic Inc | Dentist | 300 9th Ave W, Ashland, WI 54806 | 2006-08-04 |
| Find all providers in zip 54806 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346711819 | Jennifer Leitzel | Social Worker | 504 High Rd, Ashland, PA 17921-9244 | 2018-12-10 |
| 1023592607 | Susan Astrid Brostrup-jensen | Social Worker | 355 Cedar St, Ashland, MA 01721-2405 | 2018-09-20 |
| 1518460161 | Rebecca Starr | Social Worker | 385 Captain Eames Cir, Ashland, MA 01721-3918 | 2018-03-09 |
| 1477903888 | Diane Sprague Park | Social Worker | 432 Center St, Ashland, OH 44805-3247 | 2016-06-16 |
| 1013352095 | J. Michelle Lund | Social Worker | 32 Grover Rd, Ashland, MA 01721-2510 | 2013-05-06 |
| 1174645204 | Michael Allyn Turgeon | Social Worker | 517 Beaser Avenue, Ashland, WI 54806 | 2007-04-06 |
| 1275684250 | Jerry Russell Morris | Social Worker | 10730 Midland Trail Drive, Ashland, KY 41102 | 2007-01-16 |
| 1891722781 | Jennifer A Palizay-finger | Social Worker | 259 Sandusky St, Ashland, OH 44805 | 2006-06-27 |
| 1073585030 | Arthur Howard Fleitman | Social Worker | 366 Cedar St, Ashland, MA 01721-2407 | 2006-02-03 |
| 1538772298 | Alan Matthew Spaude-filipczak | Social Worker | 1635 Maple Ln, Ashland, WI 54806-3610 | 2020-08-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.