Healthcare Provider Details

I. General information

NPI: 1235345026
Provider Name (Legal Business Name): CATHERINE OHRIN-GREIPP MSW, LCSW, BCD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 11/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7219 N LITCHFIELD RD 56 MEDICAL GROUP
LUKE AFB AZ
85309-1529
US

IV. Provider business mailing address

7219 N LITCHFIELD ROAD 56 MEDICAL GROUP
LUKE AFB AZ
85309-1525
US

V. Phone/Fax

Practice location:
  • Phone: 623-856-7579
  • Fax:
Mailing address:
  • Phone: 623-856-7579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW 2822
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: