Provider Demographics
NPI:1811639487
Name:GRECO, CLAIRE (MSW, LCSW, CSAYC)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:GRECO
Suffix:
Gender:F
Credentials:MSW, LCSW, CSAYC
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:
Other - Last Name:RILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LSW
Mailing Address - Street 1:720 EXECUTIVE PARK DR STE 2600A
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-3215
Mailing Address - Country:US
Mailing Address - Phone:317-886-8070
Mailing Address - Fax:
Practice Address - Street 1:720 EXECUTIVE PARK DR STE 2600A
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-3215
Practice Address - Country:US
Practice Address - Phone:317-886-8070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34009521A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical