Individual
ALISSA DODGE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904008562
VA
1041S0200X
School Social Worker
Primary
PPS-0606687
VA
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
04/10/2026
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