Stephanie Marie Grecco, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW03094 Issued in RI

Practice address

1130 Ten Rod Rd Ste C104
North Kingstown, RI 02852-4127

Phone

(401) 250-2731

NPI assigned

Dec 21, 2021

Sex

Female

Sole proprietor

No

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, last updated by the provider on Dec 21, 2021.

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1336809136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE C104",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524127",
            "telephone_number": "012-502-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE C104",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524127",
            "telephone_number": "401-250-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRECCO",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Gorea, PMHNP-BC
• Amanda Marie Gould, NP
• Alyssa Goulet
• Nancy Graham, DIPL AC.
• Melissa B Graswald, DMD
• Jennifer Elizabeth Griffith, MSW, LICSW
• Melissa Jean Grifka, LMFT
• Joseph A Grillo, PSY.D.
• Grow Bold Psychotherapy
• Growing Minds Nutrition, LLC

• All providers in North Kingstown, RI
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.