MR. NICHOLAS GRILLO JR. (NPI# 1760405880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760405880 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS GRILLO JR. |
| Credential | LCSW |
| Practice Address |
4920 Millridge Pkwy E Suite 212 Midlothian VA 23112-4857 |
| Mailing Address |
12610 Donegal Dr Chesterfield VA 23832-3110 |
| Practice Telephone | 8047448400 |
| Practice Fax Number | 8047901533 |
| Mailing Telephone | 8047448400 |
| Mailing Fax Number | 8047901533 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904000758 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 8901066 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649767450 | Nicholas Grillo | Student in an Organized Health Care Education/Training Program | 120 Hobart St, Utica, NY 13501-4308 | 2018-04-17 |
| 1073918959 | Nicholas Grillo | Physical Therapist | 13350 Franklin Farm Rd, Suite 300, Herndon, VA 20171-4091 | 2014-11-04 |
| 1659684868 | Nicholas Grillo | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2010-07-16 |
| Street Address |
4920 MILLRIDGE PKWY E SUITE 212 |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23112-4857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811916588 | Frank Edward Crow | Counselor | 4920 Millridge Pkwy E, Suite 206, Midlothian, VA 23112-4857 | 2006-07-19 |
| 1639601461 | Krystal Nowak Psychology LLC | Psychologist | 4920 Millridge Pkwy E, Suite 206, Midlothian, VA 23112-4857 | 2017-03-30 |
| 1760803399 | Christine Komiske Dwyer, Lcsw, LLC | Social Worker | 4920 Millridge Pkwy E, Suite 206, Midlothian, VA 23112-4857 | 2013-12-28 |
| 1366874851 | Marchelle Leialoha II | Massage Therapist | 4920 Millridge Pkwy E, Suite 206, Midlothian, VA 23112-4857 | 2013-08-06 |
| 1972749562 | Phyllis J. Jones | Counselor | 4920 Millridge Pkwy E, Ste 206, Midlothian, VA 23112-4857 | 2009-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170080 | Shonmarra Ylexus Glover | Behavior Technician | 5950 Harbour Lane, Midlothian, VA 23112 | 2018-10-17 |
| 1841778917 | Brett Stires | Behavior Technician | 5950 Harbourt Park Dr, Midlothian, VA 23112 | 2018-08-01 |
| 1538655899 | Surbhi Chandna | Dentist | 5921 Harbour Ln Ste 500, Midlothian, VA 23112 | 2018-07-10 |
| 1184121584 | Katie Marie Kashmer | Behavioral Analyst | 5950 Barbour Park Lane, Midlothian, WA 23112 | 2018-04-11 |
| 1497259832 | Ruth Lynn Kitchens | Occupational Therapist | 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-21 |
| 1487157301 | Susan Stoodt Price | Occupational Therapist | Chesterfield Technical Center Hull, 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-16 |
| 1922500495 | Rayna Veney Piper | Speech-Language Pathologist | 13900 Hull Street Road, Midlothian, VA 23112 | 2018-03-01 |
| 1891202883 | Rochelle Wallace | Behavioral Analyst | 5950 Harbourt Park Dr., Midlothian, VA 23112 | 2017-12-29 |
| 1184138448 | Virginia Medical & Therapeutic Services | Counselor | 13540 E Boundary Rd, Midlothian, VA 23112 | 2017-11-24 |
| 1386169118 | Brandon Poen | Physical Therapist | 2820 Waterford Lake Dr., Unit 013, Midlothian, VA 23112 | 2017-08-14 |
| Find all providers in zip 23112 | ||||
| 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 |
|---|---|---|---|---|
| 1639770597 | Tracy Ann Carroll | Social Worker | 16200 Saville Chase Ln, Midlothian, VA 23112-4585 | 2020-11-05 |
| 1932700382 | Caitlin Duggan | Social Worker | 5712 Oak Knoll Rd, Midlothian, VA 23112-2400 | 2020-11-03 |
| 1881202125 | Derwin Lydell Hayes | Social Worker | 12117 Mansfield Ter, Midlothian, VA 23114-1288 | 2020-07-22 |
| 1649893611 | Jamesa Robinson | Social Worker | 1017 W Sierra Vista Ct, Midlothian, TX 76065-3842 | 2020-05-25 |
| 1568085033 | Kyle Jason Mitchell | Social Worker | 4025 E Us 287, Midlothian, TX 76065 | 2020-05-19 |
| 1518593524 | Ann L Nost | Social Worker | 1525 Huguenot Rd, Midlothian, VA 23113-2438 | 2020-03-21 |
| 1568096857 | Ajm Clinical Therapy & Consulting, Pllc | Social Worker | 2750 Clear Lake Dr, Midlothian, TX 76065-6251 | 2020-02-26 |
| 1386103711 | Karen Stevenson Landrum | Social Worker | 14051 St Francis Blvd Ste 2200, Midlothian, VA 23114-3203 | 2019-03-15 |
| 1093240608 | Sf Medical Consulting, LLC | Social Worker | 2212 Webster Crescent Ln, Midlothian, VA 23112-1747 | 2017-04-21 |
| 1689122012 | Momentum Counseling and Wellness LLC | Social Worker | 431 Walton Park Road, Midlothian, VA 23114 | 2016-09-14 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 23112 |
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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.