Individual provider · NPI-1

Sean Green, LMSW

Social Worker · Tempe, AZ

NPI number1386331148
StatusActive
Last updated in NPPESApr 21, 2023

Details

NPI
1386331148
Entity type
Individual (NPI-1)
Name
Sean Green
Credential
LMSW
Sex
Male
Sole proprietor
No
Enumeration date
Apr 21, 2023
Certification date
Apr 21, 2023
Last updated
Apr 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social WorkerLMSW-19571AZYes
171M00000X Case Manager/Care Coordinator––

Practice location

655 S Ash Ave
Tempe, AZ 85281-2812

Phone 480-858-2143

Mailing address

Po Box 5002 Mail Stop 1602
Tempe, AZ 85280

Phone 480-858-2143

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