MEDICARE: LATOYA GREENE LMSW

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	104100000X	Social Worker

General Provider Information

NPI Number	:	1871289884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATOYA GREENE LMSW

Provider Business Mailing Address
First Line	:	737 FOX ST APT 4I
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10455-2058
Country	:	US
Telephone Number	:	347-847-3671
Fax Number	:

Provider Business Practice Location Address
First Line	:	830 FOREST AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-7802
Country	:	US
Telephone Number	:	718-401-5788
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2023
Last Update Date	:	08/05/2025

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Directions to “ LATOYA GREENE LMSW” Practice Location

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