Greene, Kathy L
Greene, Kathy L is an sole proprietor health care provider with primary practice located at 106 Parker Ave , Forked River NJ 08731-4218. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Greene, Kathy L can be contacted via phone (609) 242-0113.Contact Information
Primary practice address
106 Parker Ave
Forked River NJ 08731-4218
Phone: (609) 242-0113
Fax: (609) 693-1448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC05159600 | New Jersey |
Profile Details
| NPI number | 1912122565 |
|---|---|
| LBN Legal business name | Greene, Kathy L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 16th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912122565 | NPPES |
| New Jersey | MEDICAID | 0031119 |
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