Cameron Green, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. His current practice location is
2525 W Washington Blvd # 104, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(831) 917-8910.
Cameron Green is licensed to practice in California (license number 93080) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619520491.
Healthcare Provider's Profile
Full Name | Cameron Green |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 2525 W Washington Blvd # 104, Los Angeles, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619520491
- Provider Enumeration Date: 07/19/2019
- Last Update Date: 11/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 4486024148
- Enrollment ID: I20221221002832
Medical Identifiers
Medical identifiers for Cameron Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619520491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 93080 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cameron Green is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Cameron Green, LCSW 1821 W 42nd St, Los Angeles, CA 90062-1529 Ph: () - | Cameron Green, LCSW 2525 W Washington Blvd # 104, Los Angeles, CA 90018-1247 Ph: (831) 917-8910 |
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