Healthcare Provider Details

I. General information

NPI: 1073970802
Provider Name (Legal Business Name): DANIELLE GRINKMEYER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2016
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5455 ALMIRA DR NE
BREMERTON WA
98311-8331
US

IV. Provider business mailing address

5455 ALMIRA DR NE
BREMERTON WA
98311-8331
US

V. Phone/Fax

Practice location:
  • Phone: 360-373-5031
  • Fax:
Mailing address:
  • Phone: 360-373-5031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number92266
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number70102711
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number61906
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: