Individual
VIRGINIA K GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 MARQUETTE AVE NW STE 1200, ALBUQUERQUE, NM 87102-5312
(323) 205-7088
(833) 419-0181
Mailing address
4953 CINNABAR TRL, BROWNSBURG, IN 46112-7091
(323) 205-7088
(833) 419-0181
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149006928
IL
1041C0700X
Clinical Social Worker
Primary
C-4236
NM
1041C0700X
Clinical Social Worker
Primary
I-4236
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16088531
—
NM
Enumeration date
06/27/2006
Last updated
04/18/2026
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