Healthcare Provider Details

I. General information

NPI: 1487084364
Provider Name (Legal Business Name): LUCRETIA JONES GREAUX LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2013
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7419 KNIGHTDALE BLVD STE 110
KNIGHTDALE NC
27545-8825
US

IV. Provider business mailing address

7419 KNIGHTDALE BLVD STE 110
KNIGHTDALE NC
27545-8825
US

V. Phone/Fax

Practice location:
  • Phone: 919-891-0016
  • Fax: 919-891-0016
Mailing address:
  • Phone: 919-891-0016
  • Fax: 919-891-0016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP008500
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: