Healthcare Provider Details

I. General information

NPI: 1760765655
Provider Name (Legal Business Name): LORA GRIECO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2011
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 ROBERT SMALLS PKWY STE 1
BEAUFORT SC
29906-4202
US

IV. Provider business mailing address

11 ROBERT SMALLS PKWY STE 1
BEAUFORT SC
29906-4202
US

V. Phone/Fax

Practice location:
  • Phone: 848-227-1157
  • Fax:
Mailing address:
  • Phone: 848-227-1157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: