Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gwen R. Grenard, LCSW-R

Individual provider Clinical Social Worker · NPI 1417003732

Gwen R. Grenard, LCSW-R is a Clinical Social Worker in Great Neck, New York. Qualified in 1993, 33 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
33
Licensed in
NY
In the registry since
2007
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Practice location Address checks out

505 Northern Blvd Ste 103
Great Neck, NY 11021-5108
Phone: (516) 639-6392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R048175-1 (NY)

Record details

NPI number1417003732
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedJanuary 27, 2007
Last updated in NPPESDecember 16, 2020
Certification dateDecember 16, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Great Neck