MEDICARE: MR. GREGORY ALLEN RIEGER MSW, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1093721300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GREGORY ALLEN RIEGER MSW, LCSW

Provider Business Mailing Address
First Line	:	2055 CRAIGSHIRE RD STE 120
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-4012
Country	:	US
Telephone Number	:	314-681-1223
Fax Number	:

Provider Business Practice Location Address
First Line	:	2055 CRAIGSHIRE RD STE 120
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-4012
Country	:	US
Telephone Number	:	314-681-1223
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	06/15/2023

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