National Provider Identifier
Jennifer Leanne Greene, LCSW-R
Jennifer Leanne Greene, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 342-3654.
Profile Overview
- NPI
- 1023348984
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- December 28, 2009
- Last Updated
- March 30, 2023
Practice Location
- 416 North Tioga Street
- Suite Number 5
- Ithaca, NY 14850-4368
Phone: (607) 342-3654
Mailing Address
- 193 Muzzy RD
- Ithaca, NY 14850-9412
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1023348984
- Entity Type
- Individual
- Last Name
- Greene
- First Name
- Jennifer
- Middle Name
- Leanne
- Name Prefix
- MS.
- Credential
- LCSW-R
- Mailing Street Address
- 193 Muzzy RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-9412
- Mailing Country
- US
- Mailing Phone
- (607) 342-3654
- Mailing Fax
- (607) 753-3165
- Practice Street Address
- 416 North Tioga Street
- Practice Address Line 2
- Suite Number 5
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4368
- Practice Country
- US
- Practice Phone
- (607) 342-3654
- Enumeration Date
- December 28, 2009
- Last Updated
- March 30, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 30, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)