Healthcare Provider Details

I. General information

NPI: 1033367297
Provider Name (Legal Business Name): KENNETH GREIFF LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2008
Last Update Date: 06/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 CHESTNUT ST. HARMONY MENTAL HEALTH SERVICES, INC.
PHILADELPHIA PA
19103
US

IV. Provider business mailing address

1400 REED ST
PHILADELPHIA PA
19146-4823
US

V. Phone/Fax

Practice location:
  • Phone: 215-568-5903
  • Fax:
Mailing address:
  • Phone: 215-755-0500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number15122138
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: