| Mr Cornelius Clayborne Grimes, LCSW | |
|
920 Dannon Vw Sw, Suite 3104, Atlanta, GA 30331-2157 | |
| (404) 840-0640 | |
| Not Available |
| Full Name | Mr Cornelius Clayborne Grimes |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 920 Dannon Vw Sw, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710265145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW004068 (Georgia) | Primary |
| Entity Name | Middle Flint Area Community Service Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366521932 PECOS PAC ID: 3274426150 Enrollment ID: O20040204000828 |
| Entity Name | Morehouse Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801832324 PECOS PAC ID: 6002701273 Enrollment ID: O20040217000570 |
| Entity Name | View Point Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609853860 PECOS PAC ID: 0840272282 Enrollment ID: O20040601001088 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Cornelius Clayborne Grimes, LCSW 2654 Arrowood Dr, East Point, GA 30344-3810 Ph: (404) 840-0640 | Mr Cornelius Clayborne Grimes, LCSW 920 Dannon Vw Sw, Suite 3104, Atlanta, GA 30331-2157 Ph: (404) 840-0640 |
Michael Kendrick Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 343 8th St Ne, #e-2, Atlanta, GA 30309 Phone: 678-895-8412 Fax: 404-879-0779 | |
Ms. Susan Peterson-hazan, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1821 Clifton Rd Ne, Atlanta, GA 30329 Phone: 404-728-6273 Fax: 404-728-6577 | |
Rick Bemis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Virginia Ave, Suite 300, Atlanta, GA 30354 Phone: 404-438-2751 Fax: 404-761-7544 | |
Ms. Phyllis Ann Glass, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1904 Monroe Dr Ne, Suite 120, Atlanta, GA 30324 Phone: 404-874-8294 Fax: 404-874-2020 | |
Mrs. Alesia K Alexander Layne, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2048 Hosea L Williams Dr Ne, Suite A, Atlanta, GA 30317 Phone: 404-207-5024 | |
Tzipporah R Gerson-miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1820 The Exchange Se Ste 550, Atlanta, GA 30339 Phone: 404-913-1496 | |
Louise Ann Hill, LCSW, M.DIV., D.MIN. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 251 Howard St Ne, Atlanta, GA 30317 Phone: 404-825-9170 |