Gwendolyn Green is a Clinical in Detroit, Michigan. Gwendolyn Green practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gwendolyn Green is 1922020916. The last update date is 2022-07-21.
Gwendolyn Green's current location address is 18875 Hull St, Detroit, Michigan. You can contact this provider via phone number 3135863033. The mailing address for Gwendolyn Green is 18875 Hull St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gwendolyn Green |
|---|---|
| Address | 18875 Hull St, Detroit, Michigan |
| Phone Number | 3135863033 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1922020916 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 18875 Hull St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482032111 |
| Phone Number | 3135863033 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801007096 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6801007096 | MI | STATE LIC |
Post Comment/ Review Below
What is the unique provider identifier assigned to Gwendolyn Green?
The Gwendolyn Green has been issued the NPI (National Provider Identifier) 1922020916 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Gwendolyn Green is located?
The Gwendolyn Green is situated at the following address: 18875 Hull St, Detroit, MI, 482032111.
What is Gwendolyn Green's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gwendolyn Green is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When was the Gwendolyn Green's 1922020916 issued?
The Gwendolyn Green's 1922020916 was issued on 2006-07-25.
As of what date was the information regarding Gwendolyn Green, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gwendolyn Green, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-21.
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