Provider Demographics
NPI:1053696054
Name:TORRES-GREKLEK, JOHN M (LMSW,CASAC-M)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:M
Last Name:TORRES-GREKLEK
Suffix:
Gender:M
Credentials:LMSW,CASAC-M
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RENSSLAER COUNTY MENTAL HEALTH, 1600 7TH AVENUE, 3RD FL
Mailing Address - Street 2:
Mailing Address - City:RENSSLAER
Mailing Address - State:NY
Mailing Address - Zip Code:12180
Mailing Address - Country:US
Mailing Address - Phone:518-270-2800
Mailing Address - Fax:
Practice Address - Street 1:1600 7TH AVE
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-3410
Practice Address - Country:US
Practice Address - Phone:518-270-2800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-21
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10278101YA0400X
NY112312-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)