Provider Demographics
NPI:1437783081
Name:GRECCO, VIRGINIA CLARA (LCSW)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:CLARA
Last Name:GRECCO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1066 HEATHERWOOD RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT VIEW
Mailing Address - State:TN
Mailing Address - Zip Code:37146-7019
Mailing Address - Country:US
Mailing Address - Phone:812-899-6298
Mailing Address - Fax:
Practice Address - Street 1:223 DUNBAR CAVE RD STE A
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-8831
Practice Address - Country:US
Practice Address - Phone:931-444-3219
Practice Address - Fax:931-444-5850
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-22
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN96531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty