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General NPI Number Information
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NPI Number | 1265356521
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Entity Type | Organization
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Legal Business Name | JENNIFER A. GREENE, LICENSED CLINICAL SOCIAL WORKER, P.L.L.C.
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 2307 W CONE BLVD STE 209
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City | GREENSBORO
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State | NC
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Zip | 27408-4027
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Country | US
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Telephone | 845-654-3443
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Fax |
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Provider Business Mailing Address
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Address Line | 11 FLAGSHIP CV
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City | GREENSBORO
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State | NC
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Zip | 27455-3428
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Country | US
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Telephone | 845-654-3443
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER ANNE GREENE
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Credential | LCSW
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Telephone | 845-206-6941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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