MEDICARE: ROBBIE GREENFIELD LSW

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	SW012809L	PA

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	:	1235117284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBBIE GREENFIELD LSW

Provider Business Mailing Address
First Line	:	438 PELLIS RD
Second Line	:	SUITE 202
City	:	GREENSBURG
State	:	PA
Zip	:	15601-7900
Country	:	US
Telephone Number	:	724-832-7157
Fax Number	:	724-832-0401

Provider Business Practice Location Address
First Line	:	438 PELLIS RD
Second Line	:	SUITE 202
City	:	GREENSBURG
State	:	PA
Zip	:	15601-7900
Country	:	US
Telephone Number	:	724-832-7157
Fax Number	:	724-832-0401

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

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	07/08/2007

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