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NPI Code Detail

MEDICARE: JULIE GREENE LCSW-C

MEDICARE: JULIE GREENE LCSW-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker26783MD

General Provider Information

NPI Number : 1912410085
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE GREENE LCSW-C
Provider Business Mailing Address
First Line : 10451 MILL RUN CIR STE 400
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-5594
Country : US
Telephone Number : 443-940-5550
Fax Number : 443-940-5550
Provider Business Practice Location Address
First Line : 10451 MILL RUN CIR STE 400
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-5594
Country : US
Telephone Number : 443-940-5550
Fax Number : 443-940-5550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2017
Last Update Date : 06/23/2026

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Directions to “ JULIE GREENE LCSW-C” Practice Location

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