Provider Demographics
NPI:1194168278
Name:GRIMES, NAKKIA N (LCSW)
Entity type:Individual
Prefix:MS
First Name:NAKKIA
Middle Name:N
Last Name:GRIMES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2551 ELTHAM AVE
Mailing Address - Street 2:STE F
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23513-2505
Mailing Address - Country:US
Mailing Address - Phone:757-622-0700
Mailing Address - Fax:757-622-2400
Practice Address - Street 1:4099 FOXWOOD DR STE 200
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462
Practice Address - Country:US
Practice Address - Phone:757-467-8184
Practice Address - Fax:757-467-2485
Is Sole Proprietor?:No
Enumeration Date:2013-04-09
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040081231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical