Elizabeth Cleland Greville, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW013365 Issued in PA

Practice address

226 Chestnut St
Kane, PA 16735-1659

Phone

(814) 389-8436

NPI assigned

Feb 25, 2013

Sex

Female

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

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

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 and National Provider Directory roles.

• Family Services of Warren County, Inc.

  • Professional Counselor
  • Warren, PA
  • NPI 1295746451

  Clinical

  NPD (past)

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1881934065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 CHESTNUT ST",
            "city": "KANE",
            "state": "PA",
            "postal_code": "167351659",
            "telephone_number": "814-389-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 CHESTNUT ST",
            "city": "KANE",
            "state": "PA",
            "postal_code": "167351659",
            "telephone_number": "814-389-8436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 W 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "PA",
            "postal_code": "163652201",
            "country_code": "US",
            "telephone_number": "814-723-5545",
            "fax_number": "814-723-9127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREVILLE",
        "first_name": "ELIZABETH",
        "middle_name": "CLELAND",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2020-12-02",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Janel Fernan, MS, CCC-SLP
• Erin E Fiscus, RN
• Judy Flynn, CRNP
• Connie Gasbarre, MS-CCC/SLP
• Kelly Gerg-Timm
• Tommy Dean Hammerbeck Jr., SA-C/CST
• Dennis Ray Harris, DC
• Kerry Lynn Harris, COTA
• Heal Ehealth PLLC
• Libby Ann Herbstritt, RD LDN CDE

• Clinical Social Worker in Kane, PA
• Providers in Kane, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.