Jacqueline M. Grimm, MSW, LCSW
NPI 1679185029ActiveIndividual· Social Worker, Clinical· Ashland, WI
Social Worker, Clinical (MSW, LCSW) in Ashland, Wisconsin, licensed in WI, with an NPI issued in August 2020. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1679185029 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW, LCSW |
| Sole proprietor | No |
| NPI issued | Aug 18, 2020 |
| Last updated in NPPES | Nov 12, 2025 |
| Certified by provider | Nov 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 12635-123 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (WI) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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