MEDICARE: MS. DEBRA F. GREENBERG 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	1041C0700X	Clinical Social Worker	107317	MA

General Provider Information

NPI Number	:	1316036890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBRA F. GREENBERG LICSW

Provider Business Mailing Address
First Line	:	97 POND ST
Second Line	:
City	:	WESTWOOD
State	:	MA
Zip	:	02090-3541
Country	:	US
Telephone Number	:	781-329-6696
Fax Number	:	781-433-8657

Provider Business Practice Location Address
First Line	:	15 COTTAGE ST
Second Line	:
City	:	NORWOOD
State	:	MA
Zip	:	02062-2153
Country	:	US
Telephone Number	:	781-329-6696
Fax Number	:	781-433-8657

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/21/2022

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