Provider Demographics
NPI:1871007807
Name:GARVEY, GRETA BROOKE (LMSW-CC)
Entity Type:Individual
Prefix:MS
First Name:GRETA
Middle Name:BROOKE
Last Name:GARVEY
Suffix:
Gender:F
Credentials:LMSW-CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 KENNEBEC RD
Mailing Address - Street 2:
Mailing Address - City:HAMPDEN
Mailing Address - State:ME
Mailing Address - Zip Code:04444-1342
Mailing Address - Country:US
Mailing Address - Phone:207-659-3184
Mailing Address - Fax:
Practice Address - Street 1:167 KENNEBEC RD
Practice Address - Street 2:
Practice Address - City:HAMPDEN
Practice Address - State:ME
Practice Address - Zip Code:04444-1342
Practice Address - Country:US
Practice Address - Phone:207-659-3184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC16996104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker