Gary Green is a Clinical in Baltimore, Maryland. Gary Green practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gary Green is 1396792396. The last update date is 2007-10-16.
Gary Green's current location address is 5750 Park Heights Ave, Baltimore, Maryland. You can contact this provider via phone number 4104669200. The mailing address for Gary Green is 5750 Park Heights Ave, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Green |
|---|---|
| Address | 5750 Park Heights Ave, Baltimore, Maryland |
| Phone Number | 4104669200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW-C |
NPI Number Detail
| NPI Number | 1396792396 |
|---|---|
| Provider Enumeration Date | 2006-05-27 |
| Last Updated Date | 2007-10-16 |
Provider Mailing Address Detail
| Address | 5750 Park Heights Ave |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212153930 |
| Phone Number | 4104669200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 12242 |
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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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Post Comment/ Review Below
What is the Gary Green's unique identification number?
The Gary Green has been assigned the NPI (National Provider Identifier) Number 1396792396 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Gary Green is physically located?
The Gary Green is situated at the following address: 5750 Park Heights Ave, Baltimore, MD 212153930.
What is Gary Green's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gary Green is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Gary Green receive the assignment of its 1396792396 from the Centers for Medicare & Medicaid Services?
The Gary Green was issued its 1396792396 by the Centers for Medicare & Medicaid Services on 2006-05-27.
As of what date were the Gary Green's details last updated?
The information pertaining to the Gary Green, including its address, specialty, and other details, was most recently updated on 2007-10-16.