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

MS. TIA JAELAINE GREEN, LCSW

Active Sole Proprietor

Clinical Social Worker · EDMOND, OK

Registration Details

NPI Number
1952343196
Provider Type
Individual
Gender
Female
NPI Issued
Jun 12, 2006 (19.892061382863 yrs)
Last Updated
Aug 28, 2023
Sole Proprietor
Yes

Practice Information

Address
407 W 15TH ST STE 7
EDMOND, OK, 730133668
Browse OK providers · Browse ZIP 73013
Phone
4052044677
Fax
4056040923
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in EDMOND, OK

Name Credential NPI
ANDREA MICHELLE BLANK LCSW 1114924628
SUZANNE W WHITTLESEY LCSW 1285602417
LEANN LEACH MSW LCSW 1922030758
MRS. LISA M JACOBSON LCSW 1922024363
LISA ANN SEABRIDGE LCSW 1316969157
CHRISTY V WILSON LCSW, CDMS, CRC 1013021740
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.