Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline M Grimm, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1679185029

Jacqueline M Grimm, MSW, LCSW is a Clinical Social Worker in Ashland, Wisconsin. Qualified in 2014, 12 years ago. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2020
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1615 Maple Ln
Ashland, WI 54806-3689
Phone: (715) 685-5373
Fax: (715) 682-0171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 12635-123 (WI)

Record details

NPI number1679185029
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedAugust 18, 2020
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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