Individual
CARL T GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
20 WILSEY SQ, SUITE C, RIDGEWOOD, NJ 07450-3793
(201) 445-1068
(201) 445-7995
Mailing address
137 PARK AVE, LEONIA, NJ 07605-2011
(201) 965-7628
(201) 461-2430
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
055502
NY
1041C0700X
Clinical Social Worker
44SC05156600
NJ
1041C0700X
Clinical Social Worker
SW6963
FL
Other
Enumeration date
01/17/2007
Last updated
09/11/2025
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