Provider Demographics
NPI:1215150958
Name:METCALF, GREGORY JOSEPH (LCSW, CEAP)
Entity type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:JOSEPH
Last Name:METCALF
Suffix:
Gender:M
Credentials:LCSW, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 PRINCE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-3711
Mailing Address - Country:US
Mailing Address - Phone:281-537-7445
Mailing Address - Fax:281-537-7445
Practice Address - Street 1:14340 TORREY CHASE BLVD
Practice Address - Street 2:SUITE #325
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1021
Practice Address - Country:US
Practice Address - Phone:281-537-7445
Practice Address - Fax:281-537-8320
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX031761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical