MEDICARE: JAMES GREGORY LICSW

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	104100000X	Social Worker	DP00941268	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194724849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES GREGORY LICSW

Provider Business Mailing Address
First Line	:	PO BOX 602
Second Line	:
City	:	CHARLES TOWN
State	:	WV
Zip	:	25414-0602
Country	:	US
Telephone Number	:	304-728-2828
Fax Number	:	304-728-8253

Provider Business Practice Location Address
First Line	:	116 W WASHINGTON ST
Second Line	:	SUITE 2C
City	:	CHARLES TOWN
State	:	WV
Zip	:	25414-1572
Country	:	US
Telephone Number	:	304-728-8282
Fax Number	:	304-728-8253

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

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	11/05/2007

Similar Medicare Providers

1780387787 — MELISSA COPPER
Practice Location Address:

114 TOWN HILL LN
PETERSBURG, WV
26847-1572

Practice Phone: 681-892-0342
Practice Fax:

1245761436 — LACIE DRENNAN D.C.
Practice Location Address:

962 S RANDALL RD STE F
ST CHARLES, IL
60174-1572

Practice Phone: 630-443-0400
Practice Fax: 630-468-1478

1922807098 — JONATHAN THAO DC
Practice Location Address:

962 S RANDALL RD STE F
ST CHARLES, IL
60174-1572

Practice Phone: 630-523-0504
Practice Fax:

1356030555 — DR. BRIANA MARIE TABLER DPM
Practice Location Address:

912 SOMERSET BLVD STE 101
CHARLES TOWN, WV
25414-3954

Practice Phone: 304-725-2663
Practice Fax:

1235116641 — STUCK & ALGER PHARMACY INC
Practice Location Address:

114 W WASHINGTON ST
CHARLES TOWN, WV
25414-1543

Practice Phone: 304-725-2621
Practice Fax: 304-728-4321

1154392983 — GARTH BRADFORD WRIGHT M.D.
Practice Location Address:

912 SOMERSET BLVD , STE 101
CHARLES TOWN, WV
25414-3952

Practice Phone: 304-725-2663
Practice Fax: 304-724-0053

Directions to “ JAMES GREGORY LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.