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Contact Information

EMILY E GREEN, MSW
1541 ANNEX RD
JEFFERSON, WI53549-9803
 Phone: 920-674-5961
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
 

Case Manager/Care Coordinator

171M00000X
 

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for EMILY E GREEN · (Female)

NPI # 1669042503
Status Active
Credentials MSW (Master of Science in Social Work)
Entity Individual
Enumeration date 07/01/2021
Last updated 05/05/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 132496
  • WI License # 19778
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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