Jessie Holbrook Green in Gastonia - Clinical
Jessie Holbrook Green - NPI 1225232424
Jessie Holbrook Green is a Clinical in Gastonia, North Carolina. Jessie Holbrook Green practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jessie Holbrook Green is 1225232424. The last update date is 2011-04-20.
Jessie Holbrook Green's current location address is 2505 Court Dr, Gastonia, North Carolina. You can contact this provider via phone number 7048426333 and fax number 7048544860. The mailing address for Jessie Holbrook Green is 2505 Court Dr, Gastonia, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessie Holbrook Green |
|---|---|
| Address | 2505 Court Dr, Gastonia, North Carolina |
| Phone Number | 7048426333 |
| Fax Number | 7048544860 |
| Sole Proprietor | N |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1225232424 |
|---|---|
| Provider Enumeration Date | 2007-06-12 |
| Last Updated Date | 2011-04-20 |
Provider Mailing Address Detail
| Address | 2505 Court Dr |
|---|---|
| City | Gastonia |
| State | North Carolina (NC) |
| Post Code | 280542140 |
| Phone Number | 7048426333 |
| Fax Number | 7048544860 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | COO7129 |
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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 unique 10-digit identifier code assigned to Jessie Holbrook Green by the Centers for Medicare & Medicaid Services?
The Jessie Holbrook Green has been issued the NPI (National Provider Identifier) 1225232424 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jessie Holbrook Green is located?
The Jessie Holbrook Green is situated at the following address: 2505 Court Dr, Gastonia, NC, 280542140.
What is Jessie Holbrook Green's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jessie Holbrook Green is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did Jessie Holbrook Green receive its 1225232424 assignment from the Centers for Medicare & Medicaid Services?
The Jessie Holbrook Green was assigned its 1225232424 on 2007-06-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jessie Holbrook Green, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jessie Holbrook Green, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-04-20.