| Doctor Name: | PATRICIA JUNO GRIMSMAN |
| NPI Number: | 1023134087 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | CSW19676 |
| Business Practice Address: | 5050 Sunrise Blvd. Suite C-5 Fair Oaks, CA - 95628 |
| Business Phone Number: | 9169346422 |
| Business Fax Number: | 8888833127 |
| Mailing Address: | 5050 Sunrise Blvd., Suite C-5 FAIR OAKS |
| State: | CA |
| Postal Code: | 95628 |
| Phone Number: | 9169346422 |
| Fax Number: | 8888833127 |
| NPI Enumeration Date: | 03/22/2007 |
| NPI Last Update Date: | 10/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CSW19676 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |