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Gordon Irwin Greer, L.M.S.W.

Social Worker, Clinical in Grand Rapids, MI. Individual provider (NPI-1).

NPI number1760697643
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1760697643
Entity type
Individual (NPI-1)
Name
Mr. Gordon Irwin Greer
Credential
L.M.S.W.
Sex
Male
Sole proprietor
No
Enumeration date
May 13, 2007
Last updated
Jul 8, 2007

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 codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical6801086890MIYes

Practice location

3949 Sparks Dr Se
Ste. 103
Grand Rapids, MI 49546-6110

Phone 616-957-5850 · Fax 616-957-5853

Mailing address

1026 Edna St Se
Grand Rapids, MI 49507-3705

Phone 616-516-9251

Is something wrong?

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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