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Kimberly Grim , LSW

Social Worker - Clinical β€’ Jackson, OH

Active NPI 1174026405 Individual Practitioner Female Practitioner
Practice location in NPPES

502 Mccarty Ln Ste 1
Jackson, OH 456407025

Call 7405779003 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

502 Mccarty Ln Ste 1

Jackson, OH 456407025

Telephone 7405779003
Fax 7405779184

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jackson and Ohio

7 active clinicians are listed under Social Worker - Clinical with a practice address in Jackson, OH (10,030 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-02-05
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES OH S.2207792

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2864002 (OH)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Practice Location February 05, 2025

Registered at 502 MCCARTY LN STE 1, JACKSON, OH 456407025 (Tel: 7405779003)

πŸ“
Updated Business Mailing Address February 05, 2025

Registered at 502 MCCARTY LN STE 1, JACKSON, OH 456407025 (Tel: 7405779003)

πŸ“
Updated Practice Location November 20, 2024

Registered at 324 PIKE ST, MARIETTA, OH 457503323 (Tel: 8669347450)

πŸ“
Updated Business Mailing Address November 20, 2024

Registered at 4600 MONTGOMERY RD STE 400, CINCINNATI, OH 452122600

πŸ‘€
Provider Name / Credentials Updated November 20, 2024

Recorded as KIMBERLY GRIM, LSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2024

Social Worker (license number reported to NPPES: OH S.2207792)

πŸ“
Updated Practice Location June 09, 2022

Registered at 400 E STATE ST STE D, ATHENS, OH 457011870 (Tel: 7402494514)

πŸ“
Updated Business Mailing Address June 09, 2022

Registered at 400 E STATE ST STE D, ATHENS, OH 457011870 (Tel: 7402494514)

πŸ‘€
Provider Name / Credentials Updated June 09, 2022

Recorded as KIMBERLY JONES, LSW

βœ…
NPI Profile Active March 13, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 13, 2018

Registered at 45 OLIVE ST, GALLIPOLIS, OH 456311632 (Tel: 7404467010)

πŸ“
Business Mailing Address (Initial Record) March 13, 2018

Registered at 224 COLUMBUS RD, ATHENS, OH 457011334 (Tel: 7405926724)

πŸ‘€
Provider Name / Credentials (Initial Record) March 13, 2018

Recorded as KIMBERLY JONES, CDCA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2018

Counselor (license number reported to NPPES: OH 163912)

🟒
Initial NPI Registration & Enumeration March 13, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174026405
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2018
Last Update: February 05, 2025
Sole Proprietor: No

Mailing Address

502 Mccarty Ln Ste 1

Jackson, OH 456407025

Phone: 7405779003

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.