Gregory Wierda, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009085 Issued in NC

Practice address

234 E Washington St
Greensboro, NC 27401-2704

Phone

(336) 899-8800

NPI assigned

Oct 14, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: familysolutions.gregweirda@148776.advancedmd-direct.com

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1386048874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 E WASHINGTON ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012704",
            "telephone_number": "336-899-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E WASHINGTON ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012704",
            "telephone_number": "336-899-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIERDA",
        "first_name": "GREGORY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Denise Wichnoski, OT R/L
• Shanita Wicker, LCSW
• Donald Wayne Wickline, MD
• Deanna Elizabeth Widener, MA, LCMHCA
• Robin Anne Wiener, R.PH.
• Hallie Chanson Wieters, PA-C
• Caitlin Wiggins
• Shemena Monique Wiggins, PT
• Walter Francis Wiggins, MD, PHD
• Zanita Jonell Wiggins, LCSW

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.