MEDICARE: TINA MCGREVY

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	224367	MA

General Provider Information

NPI Number	:	1518835560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TINA MCGREVY

Provider Business Mailing Address
First Line	:	283 WEST RD
Second Line	:
City	:	NORTHFIELD
State	:	MA
Zip	:	01360-9770
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	283 WEST RD
Second Line	:
City	:	NORTHFIELD
State	:	MA
Zip	:	01360-9770
Country	:	US
Telephone Number	:	413-320-7364
Fax Number	:

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

Provider Enumeration Date	:	10/29/2025
Last Update Date	:	10/29/2025

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Directions to “ TINA MCGREVY ” Practice Location

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