Madia Green

Individual provider Active NPI School Social Worker · Lapeer, MI

NPI 1629699897 · NPPES record last updated Apr 29, 2020

Key facts

NPI
1629699897
Entity type
Individual (NPI type 1)
Primary specialty
School Social Worker 1041S0200X
Practice address
1570 Suncrest Dr
Lapeer, MI 48446-1154
Phone
(810) 667-0500
NPI assigned
Apr 29, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X Yes

Addresses

Primary practice location

1570 Suncrest Dr
Lapeer, MI 48446-1154

Mailing address

1570 Suncrest Dr
Lapeer, MI 48446-1154
Phone (810) 667-0500

Other providers in Lapeer, MI

All providers in Lapeer, MI · School Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.