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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SADIE GREEN

Active Sole Proprietor

SADIE GREEN is a Clinical Social Worker healthcare provider located in PONDERAY, Idaho. NPI 1114388105 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PONDERAY, ID

Registration Details

NPI Number
1114388105
Provider Type
Individual
Gender
Female
NPI Issued
Mar 17, 2016 (10.395030468028 yrs)
Last Updated
Jul 27, 2016
License
LCSW-35936 (ID)
Sole Proprietor
Yes

Practice Information

Address
207 LARKSPUR ST
PONDERAY, ID, 838525011
Browse ID providers · Browse ZIP 83852
Phone
2082553334
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in PONDERAY, ID

Name Credential NPI
MR. ADAM KUSLER LCSW 1285953000
AMBER C MOIR-BROW LCSW, ACADC 1730423815
ANNA LOUISE LAWRENCE LCSW 1003277039
LINDSEY M BASNAW 1184280968
JORDAN LANDE LCSW 1346987625
JESSICA RAEANNE CHAPMAN 1245967512
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.