MEDICARE: VERONIQUE GREEN 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	104100000X	Social Worker	9362	CT

General Provider Information

NPI Number	:	1871362004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONIQUE GREEN LMSW

Provider Business Mailing Address
First Line	:	304 W MAIN ST STE 2-1112
Second Line	:
City	:	AVON
State	:	CT
Zip	:	06001-4355
Country	:	US
Telephone Number	:	860-452-6663
Fax Number	:

Provider Business Practice Location Address
First Line	:	304 W MAIN ST STE 2-1112
Second Line	:
City	:	AVON
State	:	CT
Zip	:	06001-4355
Country	:	US
Telephone Number	:	860-452-6663
Fax Number	:

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

Provider Enumeration Date	:	12/28/2023
Last Update Date	:	12/25/2025

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Directions to “ VERONIQUE GREEN LMSW” Practice Location

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