Miss Nike K Gregory, LICSW
Counselor, Mental Health in Medford, Massachusetts
1376867556- Practice location
- 42 Thomas St, Medford, MA 02155-4536
- Phone
- 978-476-3708
- Fax
- —
- Last updated
- March 9, 2022
Nike Konstantina Gregory is a Counselor, Mental Health based in Medford, MA. Nike Konstantina Gregory practices in Medford, MA and has the professional credentials of LICSW. The NPI Number for Nike Konstantina Gregory is 1376867556 and holds a License No. 123330 (MA). The current practice location address for Nike Konstantina Gregory is 42 Thomas St, Medford, MA 02155-4536 and can be reached out via phone at 978-476-3708.
Provider Profile Details
- NPI Number
- 1376867556
- Provider Name
- Nike Konstantina Gregory
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 42 Thomas St, Medford, MA 02155-4536
- Phone Number
- 978-476-3708
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 17, 2010
- Last Update Date
- March 9, 2022
- Certification Date
- March 9, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 42 Thomas St
Medford, MA 02155-4536 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-4536
- Phone Number
- 978-476-3708
Provider Business Mailing Address Details
- Address
- 42 Thomas St
Medford, MA 02155-4536 - City
- Medford
- State
- MA
- Zip
- 02155-4536
- Phone Number
- 978-476-3708
License Information
- License Number (1)
- 123330
- License State (1)
- MA
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Miss Nike K Gregory, LICSW?
The NPI number of Miss Nike K Gregory, LICSW is 1376867556. It was assigned on March 17, 2010 and is currently active in the NPPES registry.
What is the specialty of Miss Nike K Gregory, LICSW?
Miss Nike K Gregory, LICSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 123330.
Where does Miss Nike K Gregory, LICSW practice?
The practice location is 42 Thomas St, Medford, MA 02155-4536. The office can be reached at 978-476-3708 (phone).
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 1376867556 directly on the NPPES registry website.