Individual
MS. MARILYN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWR
Contact information
Practice address
202 HOOKER AVE, POUGHKEEPSIE, NY 12603
(845) 473-2175
Mailing address
202 HOOKER AVENUE, POUGHKEEPSIE, NY 12603
(845) 473-2175
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R0467411
NY
101YM0800X
Mental Health Counselor
R0467411
NY
1041C0700X
Clinical Social Worker
R0467411
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01572870
—
NY
Enumeration date
08/29/2006
Last updated
09/11/2025
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