Doctor Name: | ROBERT J GRECO |
NPI Number: | 1194812131 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LISW |
License Number: | LISW_CP6897 |
Business Practice Address: | 4244 Haulover Dr Johns Island, SC - 294554160 |
Business Phone Number: | 8437686791 |
Business Fax Number: | |
Mailing Address: | 4244 Haulover Dr, JOHNS ISLAND |
State: | SC |
Postal Code: | 294554160 |
Phone Number: | 8437686791 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 03/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LISW_CP6897 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |