Active NPI
Debra Greten-Ganberg, LCSW
- Clinical Social Worker
- Falmouth, ME
National Provider Identifier
1285861252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC6487
- Practice address
- 82 Foreside Rd # D
Falmouth, ME 04105-1759 - Phone
- (207) 221-0727
- Fax
- (207) 221-2755
- NPI assigned
- Jun 17, 2009
- Last updated
- Oct 7, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC6487 | ME | Primary |
Addresses
Primary practice location
82 Foreside Rd # D
Falmouth, ME 04105-1759
Mailing address
82 Foreside Rd # D
Falmouth, ME 04105-1759
Phone (207) 221-0727
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC6487 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Sacred Living | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- South Portland, ME
- NPI 1104053867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286409600000",
"number": "1285861252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 FORESIDE RD # D",
"city": "FALMOUTH",
"state": "ME",
"postal_code": "041051759",
"telephone_number": "207-221-0727",
"fax_number": "207-221-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 FORESIDE RD # D",
"city": "FALMOUTH",
"state": "ME",
"postal_code": "041051759",
"telephone_number": "207-221-0727",
"fax_number": "207-221-2755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRETEN-GANBERG",
"first_name": "DEBRA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-17",
"last_updated": "2010-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC6487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.