Healthcare Provider Details

I. General information

NPI: 1629616610
Provider Name (Legal Business Name): SHELLEY GREENE LMSW-CC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHELLEY BROWN LMSW-CC

II. Dates (important events)

Enumeration Date: 12/20/2019
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W PHILADELPHIA ST
YORK PA
17401-2941
US

IV. Provider business mailing address

200 N 7TH ST
LEBANON PA
17046-5040
US

V. Phone/Fax

Practice location:
  • Phone: 717-848-6116
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberMC18384
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: