Active NPIIndividual provider

Kaitlin Green, LICSW

Social Worker, Clinical in Medford, Massachusetts

NPI Number1851963235
Practice location
26 City Hall Mall, Medford, MA 02155-4754
Fax
—
Last updated
September 7, 2021

Kaitlin Green is a Social Worker, Clinical based in Medford, MA. Kaitlin Green practices in Medford, MA and has the professional credentials of LICSW. The NPI Number for Kaitlin Green is 1851963235 and holds a License No. 000124068 (MA). The current practice location address for Kaitlin Green is 26 City Hall Mall, Medford, MA 02155-4754 and can be reached out via phone at 781-306-5463.

Provider Profile Details

NPI Number
1851963235
Provider Name
Kaitlin Green
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
26 City Hall Mall, Medford, MA 02155-4754
Phone Number
781-306-5463
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
July 14, 2021
Last Update Date
September 7, 2021
Certification Date
September 7, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 City Hall Mall
Medford, MA 02155-4754
Zip
02155-4754
Phone Number
781-306-5463
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
26 City Hall Mall
Medford, MA 02155-4754
City
Medford
State
MA
Zip
02155-4754
Phone Number
781-306-5463

License Information

License Number
000124068
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 Kaitlin Green, LICSW?

The NPI number of Kaitlin Green, LICSW is 1851963235. It was assigned on July 14, 2021 and is currently active in the NPPES registry.

What is the specialty of Kaitlin Green, LICSW?

Kaitlin Green, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 000124068.

Where does Kaitlin Green, LICSW practice?

The practice location is 26 City Hall Mall, Medford, MA 02155-4754. The office can be reached at 781-306-5463 (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 1851963235 directly on the NPPES registry website.

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