Mrs Cheryl Ann Green, LCSW is a
Social Worker - Clinical based in Fairfield, Connecticut. Mrs Cheryl Ann Green is licensed to practice in Connecticut (license number 004019) and her current practice location is
8 Wakeman Road, Fairfield, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 450-2665.
NPI number for Mrs Cheryl Ann Green is 1518029602 and her current mailing address is 8 Wakeman Road, Fairfield, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518029602.
Healthcare Provider's Profile
| Full Name | Mrs Cheryl Ann Green |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 8 Wakeman Road, Fairfield, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1518029602
- Provider Enumeration Date: 12/14/2006
- Last Update Date: 08/29/2014
Medical Identifiers
Medical identifiers for Mrs Cheryl Ann Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518029602 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 004019 (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | 004019 (Connecticut) | 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. Mrs Cheryl Ann Green is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Cheryl Ann Green, LCSW
8 Wakeman Road,
Fairfield, CT 06824
Ph: (203) 450-2665 | Mrs Cheryl Ann Green, LCSW
8 Wakeman Road,
Fairfield, CT 06824
Ph: (203) 450-2665 |
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