Provider Demographics
NPI:1902362858
Name:MUISE, GRETA (LMSW)
Entity Type:Individual
Prefix:
First Name:GRETA
Middle Name:
Last Name:MUISE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 ALMA RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21227-1837
Mailing Address - Country:US
Mailing Address - Phone:443-809-1408
Mailing Address - Fax:
Practice Address - Street 1:2301 ALMA RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21227-1837
Practice Address - Country:US
Practice Address - Phone:443-809-1408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-15
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical