Active NPIIndividual providerSole proprietor

Ms. Georgia Green, LICSW

Social Worker, Clinical in Chelsea, Massachusetts

NPI Number1194860940
Practice location
151 Everett Ave, Chelsea, MA 02150-1812
Fax
617-889-8509
Last updated
July 8, 2007

Georgia Green is a Social Worker, Clinical based in Chelsea, MA. Georgia Green practices in Chelsea, MA and has the professional credentials of LICSW. The NPI Number for Georgia Green is 1194860940 and holds a License No. 105832 (MA). The current practice location address for Georgia Green is 151 Everett Ave, Chelsea, MA 02150-1812 and can be reached out via phone at 617-889-8543 and via fax at 617-889-8509.

Provider Profile Details

NPI Number
1194860940
Provider Name
Georgia Green
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
151 Everett Ave, Chelsea, MA 02150-1812
Phone Number
617-889-8543
Fax Number
617-889-8509
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 20, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
151 Everett Ave
Chelsea, MA 02150-1812
Zip
02150-1812
Phone Number
617-889-8543
Fax Number
617-889-8509
Chelsea, MA 02150Get directions →

Provider Business Mailing Address Details

Address
65 Broadway
Lynn, MA 01904-1858
City
Lynn
State
MA
Zip
01904-1858
Phone Number
781-842-3353

License Information

License Number
105832
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Georgia Green, LICSW?

The NPI number of Ms. Georgia Green, LICSW is 1194860940. It was assigned on February 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Georgia Green, LICSW?

Ms. Georgia Green, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 105832.

Where does Ms. Georgia Green, LICSW practice?

The practice location is 151 Everett Ave, Chelsea, MA 02150-1812. The office can be reached at 617-889-8543 (phone) or 617-889-8509 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194860940 directly on the NPPES registry website.

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