Provider Demographics
NPI:1316036890
Name:GREENBERG, DEBRA F (LICSW)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:F
Last Name:GREENBERG
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 POND ST
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-3541
Mailing Address - Country:US
Mailing Address - Phone:781-329-6696
Mailing Address - Fax:781-433-8657
Practice Address - Street 1:15 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-2153
Practice Address - Country:US
Practice Address - Phone:781-329-6696
Practice Address - Fax:781-433-8657
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1073171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP06450Medicare ID - Type Unspecified