Individual provider Active NPI

Tim A Grether, LCSW

  • Clinical Social Worker
  • Estes Park, CO
National Provider Identifier
1053530949
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
991219 Issued in CO
Practice address
517 Big Thompson Ave
Estes Park, CO 80517-9661
Phone
(970) 586-8077
Fax
(970) 586-9024
NPI assigned
Apr 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 991219 CO Primary

Addresses

Primary practice location

517 Big Thompson Ave
Estes Park, CO 80517-9661

Mailing address

1010 S Saint Vrain Ave Unit G4
Estes Park, CO 80517-7471
Phone (970) 577-9322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
991219COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053530949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S SAINT VRAIN AVE UNIT G4",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805177471",
            "telephone_number": "970-577-9322",
            "fax_number": "970-586-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 BIG THOMPSON AVE",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805179661",
            "telephone_number": "970-586-8077",
            "fax_number": "970-586-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRETHER",
        "first_name": "TIM",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "991219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estes Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.