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

TANYA LAURETTE GREEN, MSW

Active

TANYA LAURETTE GREEN, MSW is a Clinical Social Worker healthcare provider located in FT WAYNE, Indiana. NPI 1689632804 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · FT WAYNE, IN

Registration Details

NPI Number
1689632804
Provider Type
Individual
Gender
Female
NPI Issued
May 4, 2006 (20.256077131712 yrs)
Last Updated
Jul 8, 2007
Licenses
34005094A (IN)
1531 (OK)

Practice Information

Address
310 E DUPONT RD
FT WAYNE, IN, 468252048
Browse IN providers · Browse ZIP 46825
Phone
2604908110
Fax
2604907707
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in FT WAYNE, IN

Name Credential NPI
MRS. SUSAN DIANE REUSSER LCSW 1609825934
MRS. SUSAN MARIE TIELKER-SHARPE LCSW LMFT ACSW 1871537753
MR. THOMAS J DOUST LCSW 1164524781
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.