Brock Richard Greek, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Worland, WY
NPI 1750406153 · NPPES record last updated May 29, 2012
Key facts
- NPI
- 1750406153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW-592 (WY)
- Practice address
- 718 Big Horn Ave
Suite D.
Worland, WY 82401 - Phone
- (307) 431-2712
- Fax
- (307) 347-4340
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Peak Counseling Center | Past | Accepting new patients | |
| First Step Counseling | Past | Accepting new patients | |
| Cloud Peak Counseling Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-592 | WY | Yes |
Addresses
Primary practice location
718 Big Horn Ave
Suite D.
Worland, WY 82401
Mailing address
601 Grace Ave.
Worland, WY 82401
Phone (307) 431-2712
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106352900 | Medicaid | WY | |
| 106352903 | Medicaid | WY |
Other providers in Worland, WY
- Gerald E Weaver MD PC
- Lonnie G Gerharter
- James A Gilman
- Tanner James Gooden
- Grant Hospitalists Services, LLC
- Caroline R Greim
- Katrina Griffin
- Jeanna Lajoieu Grosch
- Paula Serra Gross
- Guardian Flight LLC
All providers in Worland, WY · Clinical Social Worker in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.