Provider Demographics
NPI:1043053499
Name:SCHEFF, GREGORY T (LMSW)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:T
Last Name:SCHEFF
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 SUGAR CREEK LN APT J
Mailing Address - Street 2:
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-9425
Mailing Address - Country:US
Mailing Address - Phone:323-823-4338
Mailing Address - Fax:
Practice Address - Street 1:2346 MORMON TREK BLVD STE 1600
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-4372
Practice Address - Country:US
Practice Address - Phone:319-351-1949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-14
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA120573104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker