Doctor Name: | MS. DIANE K. GREENE |
NPI Number: | 1104968114 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | I.0008082 |
Business Practice Address: | 951 High Street-lower Level Worthington, OH - 43085 |
Business Phone Number: | 6144300727 |
Business Fax Number: | 6148467466 |
Mailing Address: | 951 High Street-lower Level, WORTHINGTON |
State: | OH |
Postal Code: | 43085 |
Phone Number: | 6144300727 |
Fax Number: | 6148467466 |
NPI Enumeration Date: | 02/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I.0008082 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |