Elizabeth Breen Gregus, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5220 Issued in OR

Practice address

5228 NE Hoyt St BLDG B
Portland, OR 97213-3055

Phone

(503) 215-3782

Fax

(503) 215-6477

NPI assigned

Nov 1, 2013

Last updated

Mar 20, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1437588399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SE 7TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141200",
            "telephone_number": "503-972-9542",
            "fax_number": "503-239-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5228 NE HOYT ST BLDG B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133055",
            "telephone_number": "503-215-3782",
            "fax_number": "503-215-6477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 SE 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972141200",
            "country_code": "US",
            "telephone_number": "503-972-9542",
            "fax_number": "503-239-7391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGUS",
        "first_name": "ELIZABETH",
        "middle_name": "BREEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "5220",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "5220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376611418",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sage Damara Gregory
• Stephen Gregory, LAC
• Tara Elise Gregory, LAC
• Tara Lee Gregory, FNP
• William Thomas Gregory, MD
• Elaine Greif, PH.D.
• Kathryn Dawson Greiner, L.M.T.
• Jacob David Greisman
• Kyle J Grelle, LPC
• Jolene Jeanelle Gremel, MD

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.