| Angela M Greene Llc | |
|
26 Summit Grove Ave Bryn Mawr PA 19010-3230 | |
| (610) 348-5477 | |
| Not Available |
| Full Name | Angela M Greene Llc |
|---|---|
| Speciality | Social Worker |
| Location | 26 Summit Grove Ave, Bryn Mawr, Pennsylvania |
| Authorized Official Name and Position | Angela Greene (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6103485477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela M Greene Llc 26 Summit Grove Ave Bryn Mawr PA 19010-3230 Ph: (610) 348-5477 | Angela M Greene Llc 26 Summit Grove Ave Bryn Mawr PA 19010-3230 Ph: (610) 348-5477 |
| NPI Number | 1801314570 |
|---|---|
| Provider Enumeration Date | 09/01/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5698041275 |
|---|---|
| Medicare Enrollment ID | O20171026001094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801314570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW012101 (Pennsylvania) | Primary |
| Provider Name | Angela M Greene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518392422 PECOS PAC ID: 9537435110 Enrollment ID: I20171026000959 |
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