Active NPIIndividual providerSole proprietor

Mr. Kenneth R Greene, LCSWR

Social Worker, Clinical in Bainbridge, New York

NPI Number1336169515
Practice location
28 N Main St, Suite C, Bainbridge, NY 13733-1233
Fax
—
Last updated
August 10, 2023

Kenneth Ryan Greene is a Social Worker, Clinical based in Bainbridge, NY. Kenneth Ryan Greene practices in Bainbridge, NY and has the professional credentials of LCSWR. The NPI Number for Kenneth Ryan Greene is 1336169515 and holds a License No. 13141 (CT). The current practice location address for Kenneth Ryan Greene is 28 N Main St, Suite C, Bainbridge, NY 13733-1233 and can be reached out via phone at 607-244-4668.

Provider Profile Details

NPI Number
1336169515
Provider Name
Kenneth Ryan Greene
Credential
LCSWR
Provider Entity Type
Individual
Gender
Male
Address
28 N Main St, Suite C, Bainbridge, NY 13733-1233
Phone Number
607-244-4668
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 20, 2006
Last Update Date
August 10, 2023
Certification Date
August 10, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
28 N Main St
Suite C
Bainbridge, NY 13733-1233
Zip
13733-1233
Phone Number
607-244-4668
Bainbridge, NY 13733Get directions →

Provider Business Mailing Address Details

Address
28 N Main St
Suite C
Bainbridge, NY 13733-1233
City
Bainbridge
State
NY
Zip
13733-1233
Phone Number
607-244-4668

License Information

License Number (1)
13141
License State (1)
CT
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
R049290-1
License State (2)
NY
Taxonomy (2)
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 Mr. Kenneth R Greene, LCSWR?

The NPI number of Mr. Kenneth R Greene, LCSWR is 1336169515. It was assigned on July 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Kenneth R Greene, LCSWR?

Mr. Kenneth R Greene, LCSWR is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 13141.

Where does Mr. Kenneth R Greene, LCSWR practice?

The practice location is 28 N Main St, Suite C, Bainbridge, NY 13733-1233. The office can be reached at 607-244-4668 (phone).

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 1336169515 directly on the NPPES registry website.

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