Virginia K Green, LCSW | |
1112 San Pedro Dr Ne, Suite 222, Albuquerque, NM 87110-6724 | |
(505) 254-3505 | |
(210) 615-2279 |
Full Name | Virginia K Green |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1112 San Pedro Dr Ne, Albuquerque, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679500318 | NPI | - | NPPES |
16088531 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I-4236 (New Mexico) | Primary |
Entity Name | Ginny Green Lcsw Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720634330 PECOS PAC ID: 7719303122 Enrollment ID: O20200817001247 |
Mailing Address | Practice Location Address |
---|---|
Virginia K Green, LCSW 7272 Wurzbach Rd, Suite 601, San Antonio, TX 78240-4801 Ph: (210) 615-3405 | Virginia K Green, LCSW 1112 San Pedro Dr Ne, Suite 222, Albuquerque, NM 87110-6724 Ph: (505) 254-3505 |
Rudy A Tafoya, BMS Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 801 Encino Pl Ne, Building F, Albuquerque, NM 87102 Phone: 505-272-1312 Fax: 505-272-2240 | |
Mrs. Jeniffer Lynn Lang, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2530 Virginia St Ne Ste 400, Albuquerque, NM 87110 Phone: 505-291-6314 | |
Ms. Danelle W Marshall, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 707 Broadway Blvd Ne Ste 500, Albuquerque, NM 87102 Phone: 505-268-0701 Fax: 270-689-6677 | |
Anna Marie Gonzales, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1709 Moon St Ne, Albuquerque, NM 87112 Phone: 505-271-0329 | |
Samuel Hufnagel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 4th St Nw Ste 102, Albuquerque, NM 87102 Phone: 505-705-9636 | |
France Bordeleau, L.I.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10801 Lomas Blvd Ne, Ste. #104, Albuquerque, NM 87112 Phone: 505-710-8423 Fax: 505-822-1189 | |
Rose Langland, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8205 Spain Rd Ne Ste 106, Albuquerque, NM 87109 Phone: 505-856-0300 Fax: 505-856-7946 |