Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jeremy Keith Greenwood, LICSW

Individual provider Mental Health Counselor · NPI 1750449013

Mr. Jeremy Keith Greenwood, LICSW is a Clinical Social Worker in Centralia, Washington. Qualified in 1995, 31 years ago. Practices with Cascade Community Healthcare, a 14-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
31
Licensed in
WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

2428 W Reynolds Ave
Centralia, WA 98531-4554
Phone: (360) 330-9044
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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 LW00009494 (WA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1750449013
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedDecember 5, 2006
Last updated in NPPESMarch 9, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Cascade Community Healthcare — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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