Cheryl Ann Green is a Clinical in Fairfield, Connecticut. Cheryl Ann Green practices all healthcare services and medical treatments related to Clinical. The NPI Number for Cheryl Ann Green is 1518029602. The last update date is 2014-08-29.
Cheryl Ann Green's current location address is 8 Wakeman Road, Fairfield, Connecticut. You can contact this provider via phone number 2034502665 and fax number 8883996431. The mailing address for Cheryl Ann Green is 8 Wakeman Road, Fairfield, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cheryl Ann Green |
|---|---|
| Address | 8 Wakeman Road, Fairfield, Connecticut |
| Phone Number | 2034502665 |
| Fax Number | 8883996431 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1518029602 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2014-08-29 |
Provider Mailing Address Detail
| Address | 8 Wakeman Road |
|---|---|
| City | Fairfield |
| State | Connecticut (CT) |
| Post Code | 6824 |
| Phone Number | 2034502665 |
| Fax Number | 8883996431 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 4019 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the Cheryl Ann Green's unique identification number?
The Cheryl Ann Green has been assigned the NPI (National Provider Identifier) Number 1518029602 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Cheryl Ann Green?
The Cheryl Ann Green is situated at 8 Wakeman Road, in the city of Fairfield, state of CT, with the zip code 6824.
What is Cheryl Ann Green's specialized field of practice, and what is the corresponding taxonomy classification code?
The Cheryl Ann Green's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1518029602 to Cheryl Ann Green?
The Centers for Medicare & Medicaid Services assigned the 1518029602 to Cheryl Ann Green on 2006-12-14.
When was the information related to Cheryl Ann Green most recently updated or refreshed?
The details pertaining to the Cheryl Ann Green, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-08-29.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA