William Mack Green, LCSW, LSAC is a
Social Worker - Clinical based in Bountiful, Utah. William Mack Green is licensed to practice in Utah (license number 4932942-3501) and his current practice location is
107 N Main St, Bountiful, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 244-5166.
NPI number for William Mack Green is 1013246131 and his current mailing address is 590 E Center St, Centerville, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013246131.
Healthcare Provider's Profile
Full Name | William Mack Green |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 107 N Main St, Bountiful, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013246131
- Provider Enumeration Date: 12/19/2009
- Last Update Date: 12/19/2009
Medical Identifiers
Medical identifiers for William Mack Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013246131 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 4932942-6006 (Utah) | Secondary |
1041C0700X | Social Worker - Clinical | 4932942-3501 (Utah) | 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. William Mack 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 |
William Mack Green, LCSW, LSAC 590 E Center St, Centerville, UT 84014-2305 Ph: (801) 244-5166 | William Mack Green, LCSW, LSAC 107 N Main St, Bountiful, UT 84010-6162 Ph: (801) 244-5166 |
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