Maria Juanita Green
Social Worker, Clinical in Rockford, IL. Individual provider (NPI-1).
NPI number1619684883
StatusActive
Last updated in NPPESJan 28, 2025
Details
- NPI
- 1619684883
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Maria Juanita Green
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2022
- Certification date
- Jan 28, 2025
- Last updated
- Jan 28, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 104100000X | Social Worker | 150107081 | IL |
Practice location
3019 N Perryville RdRockford, IL 61114-8016
Phone 815-975-3330
Mailing address
2201 Waterbury DrJoliet, IL 60431-8584
Phone 773-641-3044
Other practice locations
101 1/2 E Front St Ste 104
Wheaton, IL 60187-5334
Wheaton, IL 60187-5334
Phone 630-216-4038
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