Stephen Anthony Greco, LLMSW, QIDP, QMHP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851101177 Issued in MI

Practice address

13101 Allen Rd
Southgate, MI 48195-2216

Phone

(734) 785-7705

NPI assigned

Jul 27, 2017

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1215451646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41805 RAVENWOOD ST",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873925",
            "telephone_number": "313-229-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 ALLEN RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952216",
            "telephone_number": "734-785-7705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2280 E Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "MI",
            "postal_code": "48843",
            "country_code": "US",
            "telephone_number": "517-546-4126 x3536",
            "fax_number": "517-552-7123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRECO",
        "first_name": "STEPHEN",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LLMSW, QIDP, QMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-27",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801101177",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851101177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Grabowski
• David Jerome Grachek Jr., D.D.S.
• Kasha Annette Graves
• Jeanne Marie Gray, CNP
• Greater Michigan Counseling Center PLLC
• Laverdia Green
• Rebecca Elizabeth Green, RN
• Victoria Green
• Margaret L Greenidge-Armstead, CPS, MA, MA, CADC
• Breanna Greer, MSW

• Clinical Social Worker in Southgate, MI
• Providers in Southgate, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.