MR. CORNELIUS CLAYBORNE GRIMES (NPI# 1710265145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710265145 |
| Entity Type | Individual |
| Full Name | MR. CORNELIUS CLAYBORNE GRIMES |
| Credential | LCSW |
| Practice Address |
920 Dannon Vw Sw Suite 3104 Atlanta GA 30331-2157 |
| Mailing Address |
2654 Arrowood Dr East Point GA 30344-3810 |
| Practice Telephone | 4048400640 |
| Mailing Telephone | 4048400640 |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2013-03-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW004068 | GA | Behavioral Health & Social Service Providers |
| Street Address |
920 DANNON VW SW SUITE 3104 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30331-2157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275736902 | Melanie Johnson Pointer | Psychiatry & Neurology | 920 Dannon Vw Sw, Suite 3202, Atlanta, GA 30331-2157 | 2007-06-08 |
| 1275071714 | Claudia Ayodele Davies Hodge | Nurse Practitioner | 920 Dannon Vw Sw, Suite 3103, Atlanta, GA 30331-2157 | 2017-02-04 |
| 1184031320 | Kristy H Jackson Md PC | Psychiatry & Neurology | 920 Dannon Vw Sw, Ste 3104, Atlanta, GA 30331-2157 | 2014-07-21 |
| 1083059760 | C N Grimes, Inc | Social Worker | 920 Dannon Vw Sw, Suite 3104, Atlanta, GA 30331-2157 | 2013-05-08 |
| 1467706176 | Eric Banks | Counselor | 920 Dannon Vw Sw, Ste 3202, Atlanta, GA 30331-2157 | 2012-11-01 |
| 1720379696 | D L Murray Md PC | Family Medicine | 920 Dannon Vw Sw, Suite 3103, Atlanta, GA 30331-2157 | 2011-04-27 |
| 1427367036 | Behavioral Intervention Group LLC | Counselor | 920 Dannon Vw Sw, Suite 3204, Atlanta, GA 30331-2157 | 2010-09-30 |
| 1407162126 | Jennifer Williams | Counselor | 920 Dannon Vw Sw, Atlanta, GA 30331-2157 | 2010-08-19 |
| 1710299953 | Briggs Md LLC | Community/Behavioral Health | 920 Dannon Vw Sw, Suite 3104, Atlanta, GA 30331-2157 | 2010-07-03 |
| 1538305016 | Carolyn D. Frye, LLC | Community/Behavioral Health | 920 Dannon Vw Sw, Suite 3104, Atlanta, GA 30331-2157 | 2009-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
| 1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
| 1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
| 1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
| 1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
| 1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
| 1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
| 1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
| Find all providers in zip 30331 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617495 | Anita S White | Social Worker | 981 Cleveland Ave, Atlanta, GA 30344-6717 | 2020-10-18 |
| 1164038394 | Alex Kyle Allen | Social Worker | 10 Surry County Pl Nw, Atlanta, GA 30318-1412 | 2020-09-22 |
| 1679189872 | Nicole Melissa King | Social Worker | 130 Arizona Ave Ne Unit 408, Atlanta, GA 30307-2257 | 2020-09-22 |
| 1245845288 | Jennie Gray Mulligan | Social Worker | 1911 Hallman St Ne, Atlanta, GA 30317-1001 | 2020-09-15 |
| 1518577253 | Chastity Quave | Social Worker | 790 Huff Rd Nw Apt 2062, Atlanta, GA 30318-4344 | 2020-08-07 |
| 1407465354 | Lavender Grove Psychotherapy | Social Worker | 3755 Redwine Rd, Atlanta, GA 30344-5899 | 2020-07-27 |
| 1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
| 1518576883 | Dream Again Therapy Services LLC | Social Worker | 3401 Norman Berry Dr Ste 254a, Atlanta, GA 30344-5102 | 2020-07-23 |
| 1245848878 | Chalon Dabney | Social Worker | 1155 Perimeter Ctr, Atlanta, GA 30338-5463 | 2020-07-20 |
| 1649888595 | Adrienne Bryant Smith | Social Worker | 2099 Glenwood Ave Se, Atlanta, GA 30316-2358 | 2020-07-16 |
| Find all providers in ATLANTA | ||||
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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.