Active NPIIndividual provider

Joseph W Green, LADC

Counselor, Addiction (Substance Use Disorder) in New London, Connecticut

NPI Number1780748897
Practice location
165 State St, Suite 200, New London, CT 06320-6397
Fax
860-443-4284
Last updated
July 8, 2007

Joseph W Green is a Counselor, Addiction (Substance Use Disorder) based in New London, CT. Joseph W Green practices in New London, CT and has the professional credentials of LADC. The NPI Number for Joseph W Green is 1780748897 and holds a License No. 000716 (CT). The current practice location address for Joseph W Green is 165 State St, Suite 200, New London, CT 06320-6397 and can be reached out via phone at 860-443-0036 and via fax at 860-443-4284.

Provider Profile Details

NPI Number
1780748897
Provider Name
Joseph W Green
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
165 State St, Suite 200, New London, CT 06320-6397
Phone Number
860-443-0036
Fax Number
860-443-4284
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
December 21, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
165 State St
Suite 200
New London, CT 06320-6397
Zip
06320-6397
Phone Number
860-443-0036
Fax Number
860-443-4284
New London, CT 06320Get directions →

Provider Business Mailing Address Details

Address
165 State St
Suite 200
New London, CT 06320-6397
City
New London
State
CT
Zip
06320-6397
Phone Number
860-443-0036
Fax Number
860-443-4284

License Information

License Number
000716
License State
CT
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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 Joseph W Green, LADC?

The NPI number of Joseph W Green, LADC is 1780748897. It was assigned on December 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Joseph W Green, LADC?

Joseph W Green, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 000716.

Where does Joseph W Green, LADC practice?

The practice location is 165 State St, Suite 200, New London, CT 06320-6397. The office can be reached at 860-443-0036 (phone) or 860-443-4284 (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 1780748897 directly on the NPPES registry website.

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