Individual
MS. REBECCA J GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3360 HIGHWAY 411 N, ENGLEWOOD, TN 37329-5276
(423) 887-5131
(423) 887-5917
Mailing address
6350 W ANDREW JOHNSON HWY, DEPARTMENT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3397
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3711666
MEDICARE ID
TN
Enumeration date
05/27/2006
Last updated
07/26/2013
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