Provider Demographics
NPI:1346004926
Name:GRIER, GRETA LAVONNE (LCSW, MLSW, CADC)
Entity Type:Individual
Prefix:
First Name:GRETA
Middle Name:LAVONNE
Last Name:GRIER
Suffix:
Gender:F
Credentials:LCSW, MLSW, CADC
Other - Prefix:
Other - First Name:GRETA
Other - Middle Name:LAVONNE
Other - Last Name:GRIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MLSW, CADC
Mailing Address - Street 1:162 CARTERS MILL RD
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-2701
Mailing Address - Country:US
Mailing Address - Phone:215-852-7518
Mailing Address - Fax:
Practice Address - Street 1:3900 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4551
Practice Address - Country:US
Practice Address - Phone:215-823-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-13
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW1377571041C0700X, 104100000X
PA8729101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)