National Provider Identifier
Melissa M Green
Melissa M Green is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Le Roy, NY and a listed phone number of (585) 507-9779.
Profile Overview
- NPI
- 1386047215
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 07, 2014
- Last Updated
- October 05, 2021
Practice Location
- 9192 Warsaw RD
- Le Roy, NY 14482-8943
Phone: (585) 507-9779
Mailing Address
- 15 Maple Ave
- Le Roy, NY 14482-1021
Specialties
- Clinical Social Worker (1041C0700X)
- School Social Worker (1041S0200X)
Full Record
- NPI
- 1386047215
- Entity Type
- Individual
- Last Name
- Green
- First Name
- Melissa
- Middle Name
- M
- Provider Other Last Name
- Moroz
- Provider Other First Name
- Melissa
- Provider Other Middle Name
- M
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 15 Maple Ave
- Mailing City
- Le Roy
- Mailing State
- NY
- Mailing ZIP Code
- 14482-1021
- Mailing Country
- US
- Mailing Phone
- (585) 507-9779
- Practice Street Address
- 9192 Warsaw RD
- Practice City
- Le Roy
- Practice State
- NY
- Practice ZIP Code
- 14482-8943
- Practice Country
- US
- Practice Phone
- (585) 507-9779
- Enumeration Date
- October 07, 2014
- Last Updated
- October 05, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 05, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), School Social Worker (1041S0200X)
- Other Identifiers
- 01368845 (NY)