Gordon Irwin Greer, L.M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801086890 Issued in MI

Practice address

3949 Sparks Dr SE
Ste. 103
Grand Rapids, MI 49546-6110

Phone

(616) 957-5850

Fax

(616) 957-5853

NPI assigned

May 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pine Rest Christian Mental Health ServicesGroup PAC ID 4981506508, 354 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pine Rest Christian Mental Health Services

  • Social Worker
  • Grand Rapids, MI
  • NPI 1922019157
  Medicare reassignment Care Compare group NPD
• Pine Rest Christian Mental Health Services

  • Professional Counselor
  • Grand Rapids, MI
  • NPI 1386015683
  NPD
• Alcohol and Chemical Abuse Consultants Inc

  • Addiction (Substance Use Disorder) Counselor
  • Muskegon, MI
  • NPI 1235621251

  Clinical

  NPD (past)
• Alcohol and Chemical Abuse Consultants Inc

  • Addiction (Substance Use Disorder) Counselor
  • Muskegon, MI
  • NPI 1447356050

  Clinical

  NPD (past)

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

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760697643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 EDNA ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073705",
            "telephone_number": "616-516-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 SPARKS DR SE",
            "address_2": "STE. 103",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466110",
            "telephone_number": "616-957-5850",
            "fax_number": "616-957-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "GORDON",
        "middle_name": "IRWIN",
        "name_prefix": "Mr.",
        "credential": "L.M.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Howard Greenwald, MD
• Mark Greenwood, DO
• Maureen Greenwood, PA
• Austin Greer, MD
• Clarissa Lee Greer
• Greg Weichhand LLC
• Tate Allen Gregaitis, FNP-BC
• Gregory a. Kuldanek P.C.
• Danielle Gregory
• Denise Deschaine Gregory, M.D.

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.