Active NPI
Cheryl Robinson Greubel, LCSW
- Clinical Social Worker
- Philadelphia, PA
National Provider Identifier
1982956835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW019566
- Practice address
- 3900 Woodland Ave # 122
Philadelphia, PA 19104-4551 - Phone
- (215) 823-5800
- Fax
- (215) 823-4558
- NPI assigned
- Oct 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | CW019566 | PA | Primary |
Addresses
Primary practice location
3900 Woodland Ave # 122
Philadelphia, PA 19104-4551
Mailing address
3900 Woodland Ave # 122
Philadelphia, PA 19104-4551
Phone (215) 823-5800
Other practice location 1
161 W Victoria St
Long Beach, CA 90805-2175
Phone (310) 603-1030
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cheryl.greubel@va.gov | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW019566 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590796800000",
"number": "1982956835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 WOODLAND AVE # 122",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044551",
"telephone_number": "215-823-5800",
"fax_number": "215-823-4558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 WOODLAND AVE # 122",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044551",
"telephone_number": "215-823-5800",
"fax_number": "215-823-4558"
}
],
"practiceLocations": [
{
"address_1": "161 W Victoria St",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908052175",
"country_code": "US",
"telephone_number": "310-603-1030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREUBEL",
"first_name": "CHERYL",
"middle_name": "ROBINSON",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-02",
"last_updated": "2020-05-30",
"certification_date": "2020-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW019566",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cheryl.greubel@va.gov",
"affiliation": "N",
"endpointDescription": "3900 Woodland ave",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Philadelphia",
"address_1": "3900 Woodland Ave # 122",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191044551",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.