John William Green in Portland - Clinical

John William Green - NPI 1184683468

John William Green is a Clinical in Portland, Maine. John William Green practices all healthcare services and medical treatments related to Clinical. The NPI Number for John William Green is 1184683468. The last update date is 2012-07-16.

John William Green's current location address is 208 Vaughan St, Portland, Maine. You can contact this provider via phone number 2074153393. The mailing address for John William Green is 208 Vaughan St, Portland, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name John William Green
Address 208 Vaughan St, Portland, Maine
Phone Number 2074153393
Fax Number
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1184683468
Provider Enumeration Date 2006-03-23
Last Updated Date 2012-07-16

Provider Mailing Address Detail

Address 208 Vaughan St
City Portland
State Maine (ME)
Post Code 41023204
Phone Number 2074153393
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No MC8166
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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FAQs about John William Green

What is the unique 10-digit identification code assigned to John William Green by the Centers for Medicare & Medicaid Services?

The John William Green has been issued the NPI (National Provider Identifier) 1184683468, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of John William Green?

The John William Green is situated at 208 Vaughan St, in the city of Portland, state of ME, with the zip code 41023204.

What is John William Green's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for John William Green is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date did John William Green receive its 1184683468 assignment from the Centers for Medicare & Medicaid Services?

The John William Green was assigned its 1184683468 on 2006-03-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to John William Green most recently updated or refreshed?

The details pertaining to the John William Green, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-07-16.

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