Green, Sharon

Green, Sharon is an individual health care provider with primary practice located at 9600 Roosevelt Blvd Suite 202, Philadelphia PA 19115-3932. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Green, Sharon can be contacted via phone (215) 677-7100.

Contact Information

Primary practice address
9600 Roosevelt Blvd Suite 202 Philadelphia PA 19115-3932
Phone: (215) 677-7100
Fax: (215) 677-8194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CW004487L Pennsylvania

Profile Details

NPI number 1336191923
LBN Legal business name Green, Sharon
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336191923 NPPES
Pennsylvania Other GR1830256 HIGHMARK BLUE SHEID

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