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Contact Information

NICOLETTE GREEN, LSCSW, LCAC
7927 FLOYD ST
OVERLAND PARK, KS66204-3724
 Phone: 913-302-8450
 Fax: 913-624-9799
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for NICOLETTE GREEN · (Female)

NPI # 1710167739
Status Active
Credentials LSCSW, LCAC
Entity Individual
Enumeration date 11/07/2007
Last updated 01/20/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 240
  • KS License # 4081
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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