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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SCOTT RANDALL GRIM, LISW, LICDC

Active Sole Proprietor

MR. SCOTT RANDALL GRIM, LISW, LICDC is a Social Worker healthcare provider located in NEWARK, Ohio. NPI 1306983341 is currently active in the NPPES registry. Verify at CMS.

Social Worker · NEWARK, OH

Registration Details

NPI Number
1306983341
Provider Type
Individual
Gender
Male
NPI Issued
Jan 31, 2007 (19.34758131197 yrs)
Last Updated
Feb 24, 2021
Licenses
976250 (OH)
10500057 (OH)
I.0500057.SPV (OH)
Sole Proprietor
Yes

Practice Information

Address
1445 W MAIN ST
NEWARK, OH, 430551989
Browse OH providers · Browse ZIP 43055
Phone
5138347063
Primary Specialty
Social Worker
104100000X
Additional Specialty
Clinical Social Worker
Additional Specialty
Social Worker

Other Social Worker Providers in NEWARK, OH

Name Credential NPI
MRS. MERLANE C FULLER LISW 1568450708
MRS. NANCY J HARDY LISW 1053309021
MR. ANDREW MICHAEL SANTO MSW OHIO LISW 1194868448
KIMBERLY DAVIS MSW 1881887149
ERIN RINEHART LSW 1558615161
JOYCE W NDEGE LSW 1457696536
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.