Nicole E Green, LSW
Social Worker, Clinical in Wooster, OH. Individual provider (NPI-1).
NPI number1679748909
StatusActive
Last updated in NPPESApr 28, 2008
Details
- NPI
- 1679748909
- Entity type
- Individual (NPI-1)
- Name
- Ms. Nicole E Green
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 28, 2008
- Last updated
- Apr 28, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 | S0028432 | OH | Yes |
Practice location
2285 Benden DrWooster, OH 44691-2568
Phone 330-264-9029 · Fax 330-263-7251
Mailing address
1069 Broad St Apt 5Wadsworth, OH 44281-8260
Phone 330-252-7934
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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