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NPI Code Detail

MEDICARE: ANTHONY W. GREUTMAN LSW, LICDC

MEDICARE: ANTHONY W. GREUTMAN LSW, LICDC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor011157OH
2104100000XSocial WorkerS0028504OH

General Provider Information

NPI Number : 1467616466
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY W. GREUTMAN LSW, LICDC
Provider Business Mailing Address
First Line : 1158 WESTWOOD DR
Second Line :
City : VAN WERT
State : OH
Zip : 45891-2449
Country : US
Telephone Number : 419-238-3434
Fax Number : 419-238-1955
Provider Business Practice Location Address
First Line : 1158 WESTWOOD DR
Second Line :
City : VAN WERT
State : OH
Zip : 45891-2449
Country : US
Telephone Number : 419-238-3434
Fax Number : 419-238-1955
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2008
Last Update Date : 07/18/2008

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1528237195 — WESTWOOD BEHAVIORAL HEALTH CENTER, INC.
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