Maxine A Green is a Clinical in Stephentown, New York. Maxine A Green practices all healthcare services and medical treatments related to Clinical. The NPI Number for Maxine A Green is 1154478188. The last update date is 2007-07-08.
Maxine A Green's current location address is Po Box 519, Stephentown, New York. You can contact this provider via phone number 5187339714. The mailing address for Maxine A Green is Po Box 519, Stephentown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maxine A Green |
|---|---|
| Address | Po Box 519, Stephentown, New York |
| Phone Number | 5187339714 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1154478188 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 519 |
|---|---|
| City | Stephentown |
| State | New York (NY) |
| Post Code | 121680519 |
| Phone Number | 5187339714 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 107394 |
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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 |
|---|---|---|---|
| 31728 | MA | HEALTH NEW ENGLAND |
Post Comment/ Review Below
What is the unique identifier code issued to Maxine A Green by the Centers for Medicare & Medicaid Services?
The Maxine A Green has been assigned the NPI (National Provider Identifier) 1154478188. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Maxine A Green is physically located?
The Maxine A Green is situated at the following address: Po Box 519, Stephentown, NY 121680519.
What is the Maxine A Green's area of specialization and corresponding taxonomy classification?
The Maxine A 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 1154478188 to Maxine A Green?
The Maxine A Green received its 1154478188 assignment from the Centers for Medicare & Medicaid Services on 2007-01-04.
When was the information related to Maxine A Green most recently updated or refreshed?
The details pertaining to the Maxine A Green, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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