National Provider Identifier
Charlene L Grimm, CASAC
Charlene L Grimm, CASAC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Batavia, NY and a listed phone number of (585) 815-0247.
Profile Overview
- NPI
- 1396527362
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- October 16, 2023
- Last Updated
- October 23, 2023
Practice Location
- 314 Ellicott St
- Batavia, NY 14020-3650
Phone: (585) 815-0247
Mailing Address
- 55 Dodge RD
- Getzville, NY 14068-1205
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1396527362
- Entity Type
- Individual
- Last Name
- Grimm
- First Name
- Charlene
- Middle Name
- L
- Credential
- CASAC
- Mailing Street Address
- 55 Dodge RD
- Mailing City
- Getzville
- Mailing State
- NY
- Mailing ZIP Code
- 14068-1205
- Mailing Country
- US
- Mailing Phone
- (716) 831-2700
- Mailing Fax
- (585) 815-0251
- Practice Street Address
- 314 Ellicott St
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-3650
- Practice Country
- US
- Practice Phone
- (585) 815-0247
- Practice Fax
- (585) 815-0251
- Enumeration Date
- October 16, 2023
- Last Updated
- October 23, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 23, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)