Jennifer Greunke, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW12356 Issued in FL

Practice address

69 Bay Bridge Dr
Suite H
Gulf Breeze, FL 32561-4468

Phone

(850) 324-7912

Fax

(850) 270-7821

NPI assigned

Mar 13, 2017

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Bayou Wellness, LLC

  • Mental Health Counselor
  • Gulf Breeze, FL
  • NPI 1083096036
  NPD (past)

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1194266098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 E BRAINERD ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325036511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 BAY BRIDGE DR",
            "address_2": "SUITE H",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614468",
            "telephone_number": "850-324-7912",
            "fax_number": "850-270-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREUNKE",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cori Graham
• Donald Vernon Grant
• Genevieve Marie Green, MSW
• Leslynne Lee Green
• Gregory Lebleu MD PA
• Grey Matters Behavior Services
• Algieona Griffin, RBT
• April Groeneweg, M.S. BCBA
• Jennifer Bryant Gronert, CRNA
• Grounded Grace Counseling LLC

• Clinical Social Worker in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.