Healthcare Provider Details

I. General information

NPI: 1154480200
Provider Name (Legal Business Name): ROBERT D GREIMAN JR. LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 08/01/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WRIGHT-PATTERSON AFB 4881 SUGAR MAPLE DR.
WRIGHT-PATTERSON OH
45433
US

IV. Provider business mailing address

WRIGHT-PATTERSON AFB 4881 SUGAR MAPLE DR.
WRIGHT-PATTERSON OH
45433
US

V. Phone/Fax

Practice location:
  • Phone: 937-257-6877
  • Fax:
Mailing address:
  • Phone: 937-257-6877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4872
License Number StateOH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: