Jessie Brinson Greene in Athens - Clinical

Jessie Brinson Greene - NPI 1760551758

Jessie Brinson Greene is a Clinical in Athens, Georgia. Jessie Brinson Greene practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jessie Brinson Greene is 1760551758. The last update date is 2007-07-08.

Jessie Brinson Greene's current location address is 1 Huntington Road, Athens, Georgia. You can contact this provider via phone number 7065434948 and fax number 7065434458. The mailing address for Jessie Brinson Greene is 1 Huntington Road, Athens, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jessie Brinson Greene
Address 1 Huntington Road, Athens, Georgia
Phone Number 7065434948
Fax Number 7065434458
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1760551758
Provider Enumeration Date 2006-11-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1 Huntington Road
City Athens
State Georgia (GA)
Post Code 30606
Phone Number 7065434948
Fax Number 7065434458

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 1800
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
#1800 GA LICENSE

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FAQs about Jessie Brinson Greene

What is the Jessie Brinson Greene's unique identification number?

The Jessie Brinson Greene has been assigned the NPI (National Provider Identifier) Number 1760551758 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Jessie Brinson Greene is geographically located?

The Jessie Brinson Greene is physically situated at the following location: 1 Huntington Road, Athens, GA, 30606.

What is the Jessie Brinson Greene's specialty and taxonomy code?

The Jessie Brinson Greene's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1760551758 to Jessie Brinson Greene?

The Centers for Medicare & Medicaid Services originally issued the 1760551758 to Jessie Brinson Greene on 2006-11-06.

As of what date were the details related to Jessie Brinson Greene most recently updated or revised?

The information pertaining to Jessie Brinson Greene, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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