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NPI Code Detail

MEDICARE: ABIGAIL RENEE GREEN ASW

MEDICARE: ABIGAIL RENEE GREEN ASW
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
11041C0700XClinical Social Worker136044CA

General Provider Information

NPI Number : 1932930138
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL RENEE GREEN ASW
Provider Business Mailing Address
First Line : 2802 QUEEN ELAINE CT
Second Line :
City : EL DORADO HILLS
State : CA
Zip : 95762-3955
Country : US
Telephone Number : 720-234-2439
Fax Number :
Provider Business Practice Location Address
First Line : 5445 LAUREL HILLS DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95841-3105
Country : US
Telephone Number : 916-609-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2024
Last Update Date : 03/13/2026

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Directions to “ ABIGAIL RENEE GREEN ASW” Practice Location

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