Kenneth Ryan Greene in Bainbridge - Clinical
Kenneth Ryan Greene - NPI 1336169515
Kenneth Ryan Greene is a Clinical in Bainbridge, New York. Kenneth Ryan Greene practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth Ryan Greene is 1336169515. The last update date is 2023-08-10.
Kenneth Ryan Greene's current location address is 28 N Main St, Bainbridge, New York. You can contact this provider via phone number 6072444668. The mailing address for Kenneth Ryan Greene is 28 N Main St, Bainbridge, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Ryan Greene |
|---|---|
| Address | 28 N Main St, Bainbridge, New York |
| Phone Number | 6072444668 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSWR |
NPI Number Detail
| NPI Number | 1336169515 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2023-08-10 |
Provider Mailing Address Detail
| Address | 28 N Main St |
|---|---|
| City | Bainbridge |
| State | New York (NY) |
| Post Code | 137331233 |
| Phone Number | 6072444668 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 13141 |
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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 |
|---|---|---|---|
| 49290 | NY | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kenneth Ryan Greene by the Centers for Medicare & Medicaid Services?
The Kenneth Ryan Greene has been issued the NPI (National Provider Identifier) 1336169515. This 10-digit code 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 Kenneth Ryan Greene?
The Kenneth Ryan Greene is situated at 28 N Main St, in the city of Bainbridge, state of NY, with the zip code 137331233.
What is the area of specialization for Kenneth Ryan Greene, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth Ryan Greene is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Kenneth Ryan Greene receive its 1336169515 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth Ryan Greene was assigned its 1336169515 by the Centers for Medicare & Medicaid Services on 2006-07-20.
As of what date were the details related to Kenneth Ryan Greene most recently updated or revised?
The information pertaining to Kenneth Ryan Greene, including its address, specialty, and other relevant details, was last updated or revised on 2023-08-10.