Green, John William

Green, John William is an sole proprietor health care provider with primary practice located at 208 Vaughan St , Portland ME 04102-3204. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Green, John William can be contacted via phone (207) 415-3393.

Contact Information

Primary practice address
208 Vaughan St Portland ME 04102-3204
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X MC8166 Maine

Profile Details

NPI number 1184683468
LBN Legal business name Green, John William
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Jul 16th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers