National Provider Identifier

Jane Marie Green, LMSW

Jane Marie Green, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Corfu, NY and a listed phone number of (585) 599-7002.

NPI 1154883478Corfu, NYSocial Worker

Profile Overview

NPI
1154883478
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
April 04, 2019
Last Updated
August 09, 2024

Practice Location

  • 860 Main RD
  • Corfu, NY 14036-9753

Phone: (585) 599-7002

Mailing Address

  • 1459 Genesee St
  • Corfu, NY 14036-9659

Specialties

  • Social Worker (104100000X)
  • Social Worker (104100000X)
Full Record
NPI
1154883478
Entity Type
Individual
Last Name
Green
First Name
Jane
Middle Name
Marie
Name Prefix
MS.
Credential
LMSW
Mailing Street Address
1459 Genesee St
Mailing City
Corfu
Mailing State
NY
Mailing ZIP Code
14036-9659
Mailing Country
US
Mailing Phone
(585) 599-7002
Practice Street Address
860 Main RD
Practice City
Corfu
Practice State
NY
Practice ZIP Code
14036-9753
Practice Country
US
Practice Phone
(585) 599-7002
Practice Fax
(585) 599-3166
Enumeration Date
April 04, 2019
Last Updated
August 09, 2024
Sex
Female
Sole Proprietor
No
Certification Date
August 09, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X), Social Worker (104100000X)