Provider Demographics
NPI:1093072233
Name:SHAPIRO, GREGG ALAN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:GREGG
Middle Name:ALAN
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:761 MAPLE HILL DR
Mailing Address - Street 2:COLLABORATIVE FAMILY SERVICES
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-2064
Mailing Address - Country:US
Mailing Address - Phone:609-218-8683
Mailing Address - Fax:
Practice Address - Street 1:761 MAPLE HILL DR
Practice Address - Street 2:COLLABORATIVE FAMILY SERVICES
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-2064
Practice Address - Country:US
Practice Address - Phone:609-218-8683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052782001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical