National Provider Identifier

David Richard Green, LCSW

David Richard Green, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Bath, NY and a listed phone number of (607) 664-4364.

NPI 1831139195Bath, NYClinical Social Worker

Profile Overview

NPI
1831139195
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
June 07, 2006
Last Updated
July 08, 2007

Practice Location

  • 76 Veterans Ave
  • Bath, NY 14810-0810

Phone: (607) 664-4364

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1831139195
Entity Type
Individual
Last Name
Green
First Name
David
Middle Name
Richard
Credential
LCSW
Mailing Street Address
76 Veterans Ave
Mailing City
Bath
Mailing State
NY
Mailing ZIP Code
14810-0810
Mailing Country
US
Mailing Phone
(607) 664-4364
Practice Street Address
76 Veterans Ave
Practice City
Bath
Practice State
NY
Practice ZIP Code
14810-0810
Practice Country
US
Practice Phone
(607) 664-4364
Enumeration Date
June 07, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)