Doctor Name: | JOELLE GREENE |
NPI Number: | 1114973419 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | P045010 |
Business Practice Address: | 2567 State Highway 7 Bainbridge, NY - 137333307 |
Business Phone Number: | 6072444668 |
Business Fax Number: | |
Mailing Address: | 2567 State Highway 7, BAINBRIDGE |
State: | NY |
Postal Code: | 137333307 |
Phone Number: | 6072444668 |
Fax Number: | |
NPI Enumeration Date: | 05/26/2006 |
NPI Last Update Date: | 07/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | P045010 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |