Ricky Neal Green is a Clinical in Bellingham, Washington. Ricky Neal Green practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ricky Neal Green is 1578612123. The last update date is 2007-07-09.
Ricky Neal Green's current location address is 1116 Key St Ste 108, Bellingham, Washington. You can contact this provider via phone number 3606471176 and fax number 3607342121. The mailing address for Ricky Neal Green is 1116 Key St Ste 108, Bellingham, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ricky Neal Green |
|---|---|
| Address | 1116 Key St Ste 108, Bellingham, Washington |
| Phone Number | 3606471176 |
| Fax Number | 3607342121 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1578612123 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1116 Key St Ste 108 |
|---|---|
| City | Bellingham |
| State | Washington (WA) |
| Post Code | 982255251 |
| Phone Number | 3606471176 |
| Fax Number | 3607342121 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LW00005539 |
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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 |
|---|---|---|---|
| 4462GR | WA | HMO PIN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Ricky Neal Green by the Centers for Medicare & Medicaid Services?
The Ricky Neal Green has been assigned the NPI (National Provider Identifier) 1578612123 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Ricky Neal Green is physically located?
The Ricky Neal Green is physically situated at the following address: 1116 Key St Ste 108, Bellingham, WA, 982255251.
What is the Ricky Neal Green's specialty and taxonomy code?
The Ricky Neal Green's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Ricky Neal Green receive its 1578612123 assignment?
The Ricky Neal Green was assigned its 1578612123 on 2007-01-10, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Ricky Neal Green most recently updated or revised?
The information pertaining to Ricky Neal Green, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
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