Elizabeth Green
Social Worker, Clinical in Old Lyme, CT. Individual provider (NPI-1).
NPI number1780125328
StatusActive
Last updated in NPPESMar 15, 2017
Details
- NPI
- 1780125328
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Green
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 15, 2017
- Last updated
- Mar 15, 2017
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 | 58318 | TX | Yes |
Practice location
55 Hatchetts Hill RdOld Lyme, CT 06371-1534
Phone 800-370-3651 · Fax 877-515-7147
Mailing address
55 Hatchetts Hill RdOld Lyme, CT 06371-1534
Phone 800-370-3651 · Fax 877-515-7147
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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