Organization Active NPI

Mark Grebener, LLC

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1063697738
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW434 Issued in CO
Legal business name
MARK GREBENER, LLC
Practice address
7900 E Union Ave
Suite 1100
Denver, CO 80237-2735
Phone
(303) 883-4808
Fax
(303) 794-6736
NPI assigned
Dec 31, 2007
Last updated
Dec 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Mark Grebener, LCSW, LACNPI 1558462481
Title
Principal
Phone
(303) 883-4808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LAC127 CO
Clinical Social Worker 1041C0700X CSW434 CO Primary
Clinical Social Worker 1041C0700X IL

Addresses

Primary practice location

7900 E Union Ave
Suite 1100
Denver, CO 80237-2735

Mailing address

1418 E Irwin LN
Centennial, CO 80122-3081
Phone (303) 883-4808

National Provider Directory

National Provider Directory

Locations

5574 S Prince St
Ste 11
Littleton, CO 80120
Phone (303) 883-4808

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1063697738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 E IRWIN LN",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223081",
            "telephone_number": "303-883-4808",
            "fax_number": "303-794-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 E UNION AVE",
            "address_2": "SUITE 1100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802372735",
            "telephone_number": "303-883-4808",
            "fax_number": "303-794-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK GREBENER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "GREBENER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "303-883-4808",
        "authorized_official_credential": "LCSW, LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "LAC127",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW434",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.