Ms Serenity Madajah Renee Greene, SUDPT, AAC is a
Peer Specialist based in Lynnwood, Washington. Ms Serenity Madajah Renee Greene is licensed to practice in Washington (license number CG61541361) and her current practice location is
3924 204th St Sw, Lynnwood, Washington. She can be reached at her office (for appointments etc.) via phone at
(206) 972-0332.
NPI number for Ms Serenity Madajah Renee Greene is 1710750062 and her current mailing address is 3924 204th St Sw, Lynnwood, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710750062.
Healthcare Provider's Profile
| Full Name | Ms Serenity Madajah Renee Greene |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 3924 204th St Sw, Lynnwood, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1710750062
- Provider Enumeration Date: 10/30/2023
- Last Update Date: 08/07/2024
Medical Identifiers
Medical identifiers for Ms Serenity Madajah Renee Greene such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710750062 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 61361890 (Washington) | Secondary |
| 175T00000X | Peer Specialist | CG61541361 (Washington) | 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. Ms Serenity Madajah Renee Greene 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 |
|---|
Ms Serenity Madajah Renee Greene, SUDPT, AAC
3924 204th St Sw,
Lynnwood, WA 98036-6863
Ph: (206) 972-0332 | Ms Serenity Madajah Renee Greene, SUDPT, AAC
3924 204th St Sw,
Lynnwood, WA 98036-6863
Ph: (206) 972-0332 |
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