Individual provider · Type 1 NPI

Maxine A. Green, LICSW

Clinical Social Worker · Great Barrington, MA

NPI number 1154478188 Active

Practice location

60 Cottage St, Main St Human Resources Brien Center
Great Barrington, MA 01230-1302

Call (413) 528-9155 Map

Fax (413) 528-8187

Mailing address

PO Box 519
Stephentown, NY 12168-0519

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X107394 (MA)
Clinical Social Worker 1041C0700XPR020946-1 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1154478188

Maxine A. Green, LICSW's National Provider Identifier is 1154478188, issued on Jan 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Great Barrington, MA. The record was last updated on Jul 8, 2007.