Gregg Robert Brewer, M.S.
Social Worker, Clinical in Oshkosh, WI. Individual provider (NPI-1).
NPI number1124465620
StatusActive
Last updated in NPPESMar 19, 2014
Details
- NPI
- 1124465620
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gregg Robert Brewer
- Credential
- M.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 24, 2013
- Last updated
- Mar 19, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 1071-123 | WI | Yes |
| 101YM0800X | Counselor, Mental Health | 610-125 | WI | |
| 106H00000X | Marriage & Family Therapist | 87-124 | WI |
Practice location
700 N Westhaven DrOshkosh, WI 54904-6947
Phone 920-456-2030 · Fax 920-456-2025
Mailing address
700 N Westhaven DrOshkosh, WI 54904-6947
Phone 920-456-2030 · Fax 920-456-2025
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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