Provider Demographics
NPI:1205062734
Name:GRIER, YVETTA SHEPHERD (LCSW)
Entity type:Individual
Prefix:MRS
First Name:YVETTA
Middle Name:SHEPHERD
Last Name:GRIER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S ELM ST
Mailing Address - Street 2:SUITE 150
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-2698
Mailing Address - Country:US
Mailing Address - Phone:336-274-2100
Mailing Address - Fax:336-274-6366
Practice Address - Street 1:101 S ELM ST
Practice Address - Street 2:SUITE 150
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-2698
Practice Address - Country:US
Practice Address - Phone:336-274-2100
Practice Address - Fax:336-274-6366
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-10
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0047121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical