Gary Greenlaw, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC1548 Issued in ME

Practice address

656 State St
Bangor, ME 04401-5609

Phone

(207) 941-4036

Fax

(207) 941-4062

NPI assigned

Sep 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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)

Enrolled

Practice roles

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.

• State of Maine

  dba Oes

  • Case Management Agency
  • Augusta, ME
  • NPI 1063741213
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467554253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MARGIN ST",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044733847",
            "telephone_number": "207-941-4289",
            "fax_number": "207-941-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015609",
            "telephone_number": "207-941-4036",
            "fax_number": "207-941-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLAW",
        "first_name": "GARY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC1548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Greenberg, MD
• James Michael Greene, MD
• Robyn L Greene, LCPC
• Zachary Mitchell Greenier, PA
• Greenlaw Counseling Services Inc
• Tristan Oliver Greenlaw, LCPC
• Sharon R Greenleaf, LCPC
• Linda Anne Greenwood, LIC. AC.
• Gregory P. Kramer, D.M.D., P.a.
• Heather Arline Gregory-Martin, MD

• Clinical Social Worker in Bangor, ME
• Providers in Bangor, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.