Mr Thomas Greeley, LCSW | |
928 12th St, Greeley, CO 80631-4024 | |
(970) 347-2120 | |
Not Available |
Full Name | Mr Thomas Greeley |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 928 12th St, Greeley, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063962496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 09927099 (Colorado) | Primary |
Entity Name | North Range Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669431524 PECOS PAC ID: 1951299486 Enrollment ID: O20040316000674 |
Mailing Address | Practice Location Address |
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Mr Thomas Greeley, LCSW 1300 N 17th Ave, Greeley, CO 80631-9584 Ph: (970) 347-2120 | Mr Thomas Greeley, LCSW 928 12th St, Greeley, CO 80631-4024 Ph: (970) 347-2120 |
Jennifer Wallace, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 N 17th Ave, Greeley, CO 80631 Phone: 970-347-2120 | |
Laura Reid, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2101 16th St, Greeley, CO 80631 Phone: 970-573-7593 | |
Jarah Adrianna Grashorn, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-810-2044 | |
Sarah Wendt, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 N 17th Ave, Greeley, CO 80631 Phone: 970-347-2302 | |
Ruby Rae Pino, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3257 W. 20th St., Greeley, CO 80634 Phone: 970-672-4667 | |
Kanani Maree Naipo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 928 12th St, Greeley, CO 80631 Phone: 970-415-7592 |