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

Mr. Scott Randall Grim, LISW, LICDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1306983341

Mr. Scott Randall Grim, LISW, LICDC is an Addiction (Substance Use Disorder) Counselor in Newark, Ohio. Practices as a sole proprietor and works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2007
Specialties on file
3
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

1445 W Main St
Newark, OH 43055-1989
Phone: (513) 834-7063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16 W Long St, Columbus, OH 43215-2815 — (614) 225-0980

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence I.0500057.SPV (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 976250 (OH)
Clinical Social Worker Taxonomy 1041C0700X · Licence 10500057 (OH)

Record details

NPI number1306983341
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW , LICDC
Sole proprietorYes
NPI enumeratedJanuary 31, 2007
Last updated in NPPESFebruary 24, 2021
Certification dateFebruary 24, 2021
Mailing address615 Elsinore Pl Ste 200, Cincinnati, OH 45202-1457

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