Provider Demographics
NPI:1669082046
Name:GREBSKI, GABRIELA (LICSW)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:
Last Name:GREBSKI
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2402 COLSTON DR APT 204
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-2525
Mailing Address - Country:US
Mailing Address - Phone:202-641-0049
Mailing Address - Fax:
Practice Address - Street 1:2402 COLSTON DR APT 204
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-2525
Practice Address - Country:US
Practice Address - Phone:202-641-0049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-31
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC50078925101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health