Active NPI
Neil Allen Greco, LICSW
- Clinical Social Worker
- Saint Paul, MN
National Provider Identifier
1497084339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17557
- Practice address
- 965 Avon St N Apt 3
Saint Paul, MN 55103-1356 - Phone
- (612) 888-7809
- NPI assigned
- Dec 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 17557 | MN | Primary |
Addresses
Primary practice location
965 Avon St N Apt 3
Saint Paul, MN 55103-1356
Mailing address
525 Portland Ave # Mc963
Minneapolis, MN 55415-1533
Phone (612) 596-1223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17557 | Other | MN | BOARD OF SW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nathan & Associates, LLC | Clinical | Current | Accepting new patients |
| Community Based Mental Health Consulting and Training | Clinical | Current | Accepting new patients |
Locations
2233 Hamline Ave N
Ste 435
Saint Paul, MN 55113
Phone (612) 444-9781
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Roseville, MN
- NPI 1982123345
-
- Clinical Social Worker
- Saint Paul, MN
- NPI 1013724053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1497084339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 PORTLAND AVE # MC963",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554151533",
"telephone_number": "612-596-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "965 AVON ST N APT 3",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551031356",
"telephone_number": "612-888-7809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRECO",
"first_name": "NEIL",
"middle_name": "ALLEN",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-23",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "17557",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF SW",
"identifier": "17557",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.