Active NPI
Mark Led Grebener, LCSW LAC
- Clinical Social Worker
- Littleton, CO
National Provider Identifier
1558462481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 5574 S Prince St
#11
Littleton, CO 80120 - Phone
- (303) 883-4808
- Fax
- (303) 794-6736
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LAC 127 | CO | |
| Clinical Social Worker | 1041C0700X | CSW 434 | CO | |
| Clinical Social Worker | 1041C0700X | IL | Primary |
Addresses
Primary practice location
5574 S Prince St
#11
Littleton, CO 80120
Mailing address
1418 E Irwin Lane
Centennial, CO 80122
Phone (303) 883-4808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC 127 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| CSW 434 | CO | MD | Clinical Social Worker |
| 149010487 | IL | MD | Clinical Social Worker |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Denver, CO
- NPI 1063697738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1558462481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1418 E IRWIN LANE",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "80122",
"telephone_number": "303-883-4808",
"fax_number": "303-794-6736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5574 S PRINCE ST",
"address_2": "#11",
"city": "LITTLETON",
"state": "CO",
"postal_code": "80120",
"telephone_number": "303-883-4808",
"fax_number": "303-794-6736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREBENER",
"first_name": "MARK",
"middle_name": "LED",
"name_prefix": "Mr.",
"credential": "LCSW LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "LAC 127",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW 434",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.