HARRISON GRIMM MSW
NPI 1184076556
Social Worker in Wyandanch, NY

Q: What is Harrison Grimm's NPI number?

The NPI number for Harrison Grimm is 1184076556. It was assigned to this individual provider in the NPPES registry on July 8, 2016.

Q: What is Harrison Grimm's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Harrison Grimm was last updated on July 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 08, 2016PECOS Enrolled

240 LONG ISLAND AVE, WYANDANCH, NY 11798(631) 920-8250 Get Directions Write a Review

NPPES record last updated: July 8, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Harrison Grimm Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARRISON GRIMM MSW (NPI 1184076556) is an individual social worker in Wyandanch, New York and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1184076556

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameHARRISON GRIMMCredential: MSW

Location Address240 LONG ISLAND AVEWyandanch, NY 11798-3123

Mailing Address48 Smith StSayville, NY 11782-2727 · (631) 707-6922

Phone(631) 920-8250

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 8, 2016

✔ NPI 1184076556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

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.

240 LONG ISLAND AVE, Wyandanch, NY 11798

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Harrison Grimm Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901336338

PECOS Enrollment IDI20250723004856

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. GINGER GALVEZ LMSW

Social Worker