Gwen R. Grenard in Great Neck - Clinical

Gwen R. Grenard - NPI 1417003732

Gwen R. Grenard is a Clinical in Great Neck, New York. Gwen R. Grenard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gwen R. Grenard is 1417003732. The last update date is 2020-12-16.

Gwen R. Grenard's current location address is 21 Upland Rd, Great Neck, New York. You can contact this provider via phone number 5166396392 and fax number 5168292799. The mailing address for Gwen R. Grenard is 21 Upland Rd, Great Neck, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Gwen R. Grenard
Address 21 Upland Rd, Great Neck, New York
Phone Number 5166396392
Fax Number 5168292799
Sole Proprietor Y
Credentials LCSW-R

NPI Number Detail

NPI Number 1417003732
Provider Enumeration Date 2007-01-27
Last Updated Date 2020-12-16

Provider Mailing Address Detail

Address 21 Upland Rd
City Great Neck
State New York (NY)
Post Code 110201114
Phone Number 5166396392
Fax Number 5168292799

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No R048175-1
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Gwen R. Grenard

What is the Gwen R. Grenard's unique identification number?

The Gwen R. Grenard has been assigned the NPI (National Provider Identifier) Number 1417003732 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Gwen R. Grenard is geographically located?

The Gwen R. Grenard is physically situated at the following location: 21 Upland Rd, Great Neck, NY, 110201114.

What is Gwen R. Grenard's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Gwen R. Grenard is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

On what date did Gwen R. Grenard receive its 1417003732 assignment from the Centers for Medicare & Medicaid Services?

The Gwen R. Grenard was assigned its 1417003732 on 2007-01-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Gwen R. Grenard, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gwen R. Grenard, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-12-16.

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