Green, Stacy Jaye

Green, Stacy Jaye is an sole proprietor health care provider with primary practice located at 500 College Ave Worth Health Center - North Wing, Swarthmore PA 19081-1306. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Green, Stacy Jaye can be contacted via phone (215) 803-8314.

Contact Information

Primary practice address
500 College Ave Worth Health Center - North Wing Swarthmore PA 19081-1306
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW016181 Pennsylvania

Profile Details

NPI number 1265598361
LBN Legal business name Green, Stacy Jaye
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 31st, 2006
Last updated Mar 24th, 2016 - about 9 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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