Tonia Talise Green in Saint Louis - Clinical

Tonia Talise Green - NPI 1336294271

Tonia Talise Green is a Clinical in Saint Louis, Missouri. Tonia Talise Green practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tonia Talise Green is 1336294271. The last update date is 2007-07-09.

Tonia Talise Green's current location address is 10043 Coburg Lands Dr, Saint Louis, Missouri. You can contact this provider via phone number 3148699314. The mailing address for Tonia Talise Green is 10043 Coburg Lands Dr, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Tonia Talise Green
Address 10043 Coburg Lands Dr, Saint Louis, Missouri
Phone Number 3148699314
Fax Number
Sole Proprietor Y
Credentials MSW, L.C.S

NPI Number Detail

NPI Number 1336294271
Provider Enumeration Date 2007-01-23
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 10043 Coburg Lands Dr
City Saint Louis
State Missouri (MO)
Post Code 631371902
Phone Number 3148699314
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 2000165951
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
495849507 MO --
495849549 MO --
495849531 MO --
495849515 MO --

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FAQs about Tonia Talise Green

What is the unique identifier code issued to Tonia Talise Green by the Centers for Medicare & Medicaid Services (CMS)?

The Tonia Talise Green has been assigned the NPI (National Provider Identifier) 1336294271. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Tonia Talise Green is physically located?

The Tonia Talise Green is physically situated at the following address: 10043 Coburg Lands Dr, Saint Louis, MO, 631371902.

What is the Tonia Talise Green's area of specialization and corresponding taxonomy classification?

The Tonia Talise Green's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1336294271 to Tonia Talise Green?

The Tonia Talise Green received its 1336294271 assignment from the Centers for Medicare & Medicaid Services on 2007-01-23.

When was the Tonia Talise Green's information last updated?

The Tonia Talise Green's information was last updated on 2007-07-09.

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