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1215077136 NPI number — JILL CHRISTINE GREENE R-LCSW

NPI Number: 1215077136
Health Care Provider/Practitioner: JILL CHRISTINE GREENE R-LCSW

Information about “1215077136” NPI (JILL CHRISTINE GREENE R-LCSW) exists in 1215077136 in HTML format HTML  |  1215077136 in plain Text format TXT  |  1215077136 in PDF (Portable Document Format) PDF  |  1215077136 in an XML format XML  formats.

NPI Number : 1215077136 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215077136",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GREENE",
    "FirstName": "JILL",
    "MiddleName": "CHRISTINE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "R-LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SLATERPRYCE",
    "OtherFirstName": "JILL",
    "OtherMiddleName": "CHRISTINE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "R-LCSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 375",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKE GEORGE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12845-0375",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "518-796-5478",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "PO BOX 375",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAKE GEORGE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12845",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "518-796-5478",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/08/2007",
    "LastUpdateDate": "09/25/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "0609361",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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