Thomas Greeley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09927099 Issued in CO

Practice address

928 12TH St
Greeley, CO 80631-4024

Phone

(970) 347-2120

NPI assigned

Oct 10, 2016

Last updated

Jan 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• North Range Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greeley, CO
  • NPI 1669431524
  Medicare reassignment NPD
• North Range Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greeley, CO
  • NPI 1033979414
  NPD
• North Range Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greeley, CO
  • NPI 1598525032
  NPD
• North Range Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greeley, CO
  • NPI 1982464186
  NPD (past)

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610236800000",
    "number": "1063962496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 17TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806319584",
            "telephone_number": "970-347-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 12TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806314024",
            "telephone_number": "970-347-2120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 N 17th Ave",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806319584",
            "country_code": "US",
            "telephone_number": "970-347-2120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREELEY",
        "first_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-10",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09927099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greeley Memory Care LLC
• Greeley Modern Dentistry, LLP (Greeley Modern Dentistry)
• Greeley Orthodontic Center
• Greeley Prosthodontics
• Greeley Xray Group PC
• Stephanie Green
• Connie Marlene Greenhood, MSW
• Katie Greenwood
• Hannah K Greer, M.A.
• Jasmine Marie Soo Greer

• Clinical Social Worker in Greeley, CO
• Providers in Greeley, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.