1. Home
  2. Directory
  3. Wisconsin
  4. Ashland
  5. Social Worker
  6. NPI Profile

JACQUELINE M GRIMM MSW, LCSW
NPI 1679185029
Social Worker - Clinical in Ashland, WI

Active since August 18, 2020PECOS Enrolled
1615 MAPLE LN, ASHLAND, WI 54806(715) 685-5373(715) 682-0171 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2025, Aug 18, 2020 (2 updates tracked since 2020).

About Jacqueline M Grimm Msw, Lcsw NPPES

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

JACQUELINE M GRIMM MSW, LCSW (NPI 1679185029) is an individual clinical provider in Ashland, Wisconsin, licensed in Wisconsin (12635-123) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1679185029
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELINE M GRIMMCredential: MSW, LCSW
Location Address1615 MAPLE LNAshland, WI 54806-3689
Mailing Address1615 Maple LnAshland, WI 54806-3689 · (715) 685-5373 · Fax (715) 682-0171
Phone(715) 685-5373
Fax(715) 682-0171
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 18, 2020
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1679185029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 12635-123
Definition
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.
1615 MAPLE LN, Ashland, WI 54806
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2163900770
PECOS Enrollment IDI20260203003433
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BARBARA E JUSULA NP
Registered Nurse
1615 MAPLE LN
ASHLAND, WI 54806
Ashland County (715) 685-5500
KEVIN J MCCLELLAND MD
Internal Medicine (Gastroenterology)
1615 MAPLE LN
ASHLAND, WI 54806
Ashland County (715) 685-5290
MS. MELISSA JEAN MALMBERG DNP
Nurse Practitioner (Family)
1615 MAPLE LN
ASHLAND, WI 54806
Ashland County (715) 685-5500
ASHLAND PATHOLOGY SERVICES SC
Pathology (Anatomic Pathology & Clinical Pathology)
1615 MAPLE LN
ASHLAND, WI 54806
Ashland County (715) 685-5440
THOMAS WILLIAM JORGENSEN
Nurse Anesthetist, Certified Registered
1615 MAPLE LN
ASHLAND, WI 54806
Ashland County (715) 685-5500
JOHN FLORIAN HUSSA MD AODAC
Internal Medicine (Addiction Medicine)
1615 MAPLE LN
ASHLAND, WI 54806
Ashland County (715) 685-5500
BRITTNY WHITE SAC-IT
Counselor (Addiction (Substance Use Disorder))
1615 MAPLE LN
ASHLAND, WI 54806
Ashland County (715) 685-5400
BENJAMIN VINCENT DEITZEN APRN, FNP-C
Nurse Practitioner (Family)
1615 MAPLE LN
ASHLAND, WI 54806
Ashland County (715) 685-5700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Grimm's NPI number?

The NPI number for Jacqueline Grimm is 1679185029. It was assigned to this individual provider in the NPPES registry on August 18, 2020.

Where is Jacqueline Grimm located?

Jacqueline Grimm practices at 1615 Maple Ln, Ashland, WI 54806. The listed phone number is (715) 685-5373.

What is Jacqueline Grimm's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jacqueline Grimm enrolled in Medicare?

Yes. Jacqueline Grimm is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Grimm was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.