Active NPIIndividual provider

Ralle R Greenberg, LICSW

Social Worker, Clinical in Vineyard Haven, Massachusetts

NPI Number1154818409
Practice location
111 Edgartown RD, Vineyard Haven, MA 02568-5699
Fax
508-696-0401
Last updated
March 27, 2019

Ralle Rae Greenberg is a Social Worker, Clinical based in Vineyard Haven, MA. Ralle Rae Greenberg practices in Vineyard Haven, MA and has the professional credentials of LICSW. The NPI Number for Ralle Rae Greenberg is 1154818409 and holds a License No. 107792 (MA). The current practice location address for Ralle Rae Greenberg is 111 Edgartown RD, Vineyard Haven, MA 02568-5699 and can be reached out via phone at 508-693-7900 and via fax at 508-696-0401.

Provider Profile Details

NPI Number
1154818409
Provider Name
Ralle Rae Greenberg
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
111 Edgartown RD, Vineyard Haven, MA 02568-5699
Phone Number
508-693-7900
Fax Number
508-696-0401
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
April 21, 2018
Last Update Date
March 27, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Edgartown RD
Vineyard Haven, MA 02568-5699
Zip
02568-5699
Phone Number
508-693-7900
Fax Number
508-696-0401
Vineyard Haven, MA 02568Get directions →

Provider Business Mailing Address Details

Address
111 Edgartown RD
Vineyard Haven, MA 02568-5699
City
Vineyard Haven
State
MA
Zip
02568-5699

License Information

License Number
107792
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ralle R Greenberg, LICSW?

The NPI number of Ralle R Greenberg, LICSW is 1154818409. It was assigned on April 21, 2018 and is currently active in the NPPES registry.

What is the specialty of Ralle R Greenberg, LICSW?

Ralle R Greenberg, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 107792.

Where does Ralle R Greenberg, LICSW practice?

The practice location is 111 Edgartown RD, Vineyard Haven, MA 02568-5699. The office can be reached at 508-693-7900 (phone) or 508-696-0401 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154818409 directly on the NPPES registry website.

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