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NPI Code Detail

MEDICARE: MRS. TERESA A. GRECO LCSW

MEDICARE:  MRS. TERESA A. GRECO  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
11041C0700XClinical Social WorkerC004650NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21385ROTHERNCBCBSNC
32231027OTHERNCCIGNA
4555120000OTHERNCMAGELLAN

General Provider Information

NPI Number : 1528113305
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TERESA A. GRECO LCSW
Provider Business Mailing Address
First Line : 9003 WESTON PKWY
Second Line :
City : CARY
State : NC
Zip : 27513-2201
Country : US
Telephone Number : 919-677-1459
Fax Number : 919-677-1489
Provider Business Practice Location Address
First Line : 9003 WESTON PKWY
Second Line :
City : CARY
State : NC
Zip : 27513-2201
Country : US
Telephone Number : 919-677-1459
Fax Number : 919-677-1489
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 04/30/2012

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Directions to “ MRS. TERESA A. GRECO LCSW” Practice Location

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