Individual provider Active NPI

Anthony W. Greutman, LSW, LICDC

  • Social Worker
  • Van Wert, OH
National Provider Identifier
1467616466
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S0028504 Issued in OH
Practice address
1158 Westwood Dr
Van Wert, OH 45891-2449
Phone
(419) 238-3434
Fax
(419) 238-1955
NPI assigned
Jul 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 011157 OH
Social Worker 104100000X S0028504 OH Primary

Addresses

Primary practice location

1158 Westwood Dr
Van Wert, OH 45891-2449

Mailing address

1158 Westwood Dr
Van Wert, OH 45891-2449
Phone (419) 238-3434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710003576 OH Practitioner - Mental Health Counselor 3779028139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1158 Westwood Dr
Van Wert, OH 45891-2449
Phone (419) 238-3434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011157OHMDAddiction (Substance Use Disorder) Counselor
S0028504OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Westwood Behavioral Health Center, Inc. CurrentSince May 1, 2024 Accepting new patients
Westwood Behavioral Health Center, Inc. CurrentSince May 1, 2024 Accepting new patients
Paulding Counseling Center Past Accepting new patients

Locations

1158 Westwood Dr
Van Wert, OH 45891
Phone (419) 238-3434

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1467616466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 WESTWOOD DR",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912449",
            "telephone_number": "419-238-3434",
            "fax_number": "419-238-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 WESTWOOD DR",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912449",
            "telephone_number": "419-238-3434",
            "fax_number": "419-238-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREUTMAN",
        "first_name": "ANTHONY",
        "middle_name": "W.",
        "credential": "LSW, LICDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "011157",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0028504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Wert, OH

Sources for this page

Verify at the official NPI Registry.