Individual provider Active NPI

Martha Greth, LCSW, LAC

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1619153335
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
299 Issued in CO
Practice address
6955 Riverwood LN
Colorado Springs, CO 80918-6359
Phone
(719) 201-6682
NPI assigned
Jan 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 299 CO Primary

Addresses

Primary practice location

6955 Riverwood LN
Colorado Springs, CO 80918-6359

Mailing address

6955 Riverwood LN
Colorado Springs, CO 80918-6359
Phone (719) 201-6682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: No
  • 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
I20210408002040 CO Practitioner - Clinical Social Worker 7416365515 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Vista Community Health Centers CurrentSince Apr 12, 2021 Accepting new patients
Peak Vista Community Health Centers CurrentSince Apr 12, 2021 Accepting new patients
Journey Unfolding, LLC Clinical CurrentSince Dec 1, 2024 Accepting new patients

Locations

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

117 W Rio Grande St
Colorado Springs, CO 80903
Phone (719) 471-2789

722 S Wahsatch Ave
Colorado Springs, CO 80903
Phone (719) 344-6935

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

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": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1619153335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6955 RIVERWOOD LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186359",
            "telephone_number": "719-201-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6955 RIVERWOOD LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186359",
            "telephone_number": "719-201-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRETH",
        "first_name": "MARTHA",
        "name_prefix": "Ms.",
        "credential": "LCSW, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.