Jack D Green is a Clinical in Lancaster, Pennsylvania. Jack D Green practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jack D Green is 1356402408. The last update date is 2013-05-07.
Jack D Green's current location address is 1755 Oregon Pike, Lancaster, Pennsylvania. You can contact this provider via phone number 7175815255 and fax number 7175815259. The mailing address for Jack D Green is 1755 Oregon Pike, Lancaster, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack D Green |
|---|---|
| Address | 1755 Oregon Pike, Lancaster, Pennsylvania |
| Phone Number | 7175815255 |
| Fax Number | 7175815259 |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1356402408 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2013-05-07 |
Provider Mailing Address Detail
| Address | 1755 Oregon Pike |
|---|---|
| City | Lancaster |
| State | Pennsylvania (PA) |
| Post Code | 176014272 |
| Phone Number | 7175815255 |
| Fax Number | 7175815259 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CW014273 |
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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 Jack D Green by the Centers for Medicare & Medicaid Services?
The Jack D Green has been issued the NPI (National Provider Identifier) 1356402408 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jack D Green?
The Jack D Green is situated at 1755 Oregon Pike, in the city of Lancaster, state of PA, with the zip code 176014272.
What is Jack D Green's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jack D Green is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When did Jack D Green receive its 1356402408 assignment?
The Jack D Green was assigned its 1356402408 on 2006-12-13, which is the date when this unique identifier was issued to the organization.
When was the information related to Jack D Green most recently updated or refreshed?
The details pertaining to the Jack D Green, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-05-07.
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