Renee Nicole Gregg, BSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

5416 Holdener Rd
Elmira, CA 95625

Phone

(707) 453-6227

NPI assigned

Aug 21, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Keystone School Elmira

  • Community/Behavioral Health Agency
  • Elmira, CA
  • NPI 1609096817
  NPD (past)
• Specialized Education of California, Inc.

  • Community/Behavioral Health Agency
  • Fairfield, CA
  • NPI 1134459217
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1043467095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6757 WILLOW RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956879425",
            "telephone_number": "510-334-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5416 HOLDENER RD",
            "city": "ELMIRA",
            "state": "CA",
            "postal_code": "95625",
            "telephone_number": "707-453-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "RENEE",
        "middle_name": "NICOLE",
        "credential": "BSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela A Anisman
• Robert Paul Bancroft, MFT
• Fritzie V Cortes, PMHNP-BC
• Samantha Covington, DPT
• Harpreet Gill
• Margarita Ivonne Herrera Gutierrez
• Keystone School Elmira
• Vanda Kim
• Damon Kinard
• Monica Koza

• Social Worker in Elmira, CA
• Providers in Elmira, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.