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

Jacqueline Marie Grim, LGSW

Individual provider Clinical Social Worker · NPI 1760277412

Jacqueline Marie Grim, LGSW is a Clinical Social Worker in Fairmont, West Virginia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

51 Southland Dr
Fairmont, WV 26554-0129
Phone: (304) 290-4615
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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

Record details

NPI number1760277412
Entity typeIndividual (Type 1)
GenderFemale
Credentials LGSW
Sole proprietorNo
NPI enumeratedApril 14, 2025
Last updated in NPPESApril 14, 2025
Certification dateApril 13, 2025

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