Provider Demographics
NPI:1023313137
Name:GREEFF, DEBRA W (LMSW)
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:W
Last Name:GREEFF
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 1:1552 N CRESTMONT DR
Mailing Address - Street 2:STE. D
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-2191
Mailing Address - Country:US
Mailing Address - Phone:208-887-1911
Mailing Address - Fax:208-895-8049
Practice Address - Street 1:1552 N CRESTMONT DR
Practice Address - Street 2:STE. D
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-2191
Practice Address - Country:US
Practice Address - Phone:208-887-1911
Practice Address - Fax:208-895-8049
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-20
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMSW-30583104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker