Gregory Keith Pretlow, M.S.W.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

LC301521 Issued in DC

Practice address

64 New York Ave NE
Washington, DC 20002-3320

Phone

(202) 671-3187

Fax

(202) 673-7502

NPI assigned

Mar 6, 2009

Last updated

Mar 6, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• School Based Mental Health Program

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1285874016
  NPD (past)

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1871734608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 VARNUM ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200117009",
            "telephone_number": "202-829-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 NEW YORK AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023320",
            "telephone_number": "202-671-3187",
            "fax_number": "202-673-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRETLOW",
        "first_name": "GREGORY",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "DC",
            "license": "LC301521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Robert Preston, OPTITIAN
• Marjorie Maria Preston
• Rose E. Preston
• Marylyn Michelle Presutti, PT
• Eleanor Fridkin Preta, P.A.
• Christopher Pretorius, M.D.
• Prevention of Blindness Society of Metropolitan Washington Inc
• Preventive Measure of Washington DC, LLC (Preventive Measures of Washington DC)
• Preventive Measure of Washington DC, LLC
• Preventive Measures of Wash DC,LLC

• Community Health Worker in Washington, DC
• Providers in Washington, DC by specialty
• Community Health Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.