National Provider Identifier

Gretchen Ann Mims, LMSW, PH.D

Gretchen Ann Mims, LMSW, PH.D is listed in the NPPES registry with a primary specialty of School Social Worker in North Chili, NY and a listed phone number of (585) 889-6429.

NPI 1639455348North Chili, NYSchool Social Worker

Profile Overview

NPI
1639455348
Provider Type
Individual
Primary Specialty
School Social Worker
Enumeration Date
October 26, 2011
Last Updated
October 26, 2011

Practice Location

  • 81 Bolton Trl
  • North Chili, NY 14514-9774

Phone: (585) 889-6429

Specialties

  • School Social Worker (1041S0200X)
Full Record
NPI
1639455348
Entity Type
Individual
Last Name
Mims
First Name
Gretchen
Middle Name
Ann
Name Prefix
Dr.
Credential
LMSW, PH.D
Mailing Street Address
81 Bolton Trl
Mailing City
North Chili
Mailing State
NY
Mailing ZIP Code
14514-9774
Mailing Country
US
Mailing Phone
(585) 889-6429
Practice Street Address
81 Bolton Trl
Practice City
North Chili
Practice State
NY
Practice ZIP Code
14514-9774
Practice Country
US
Practice Phone
(585) 889-6429
Enumeration Date
October 26, 2011
Last Updated
October 26, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
School Social Worker (1041S0200X)