SHARON GREEN (NPI# 1336191923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336191923 |
| Entity Type | Individual |
| Full Name | SHARON GREEN |
| Credential | LCSW |
| Practice Address |
9600 Roosevelt Blvd Suite 202 Philadelphia PA 19115-3932 |
| Mailing Address |
204 S 43rd St Philadelphia PA 19104-2927 |
| Practice Telephone | 2156777100 |
| Practice Fax Number | 2156778194 |
| Mailing Telephone | 2152222224 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CW004487L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE SHEID | GR1830256 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003061805 | Sharon Sarah Green | Pediatrics | 3181 Southwest Sam Jackson Park Road, Oregon Health and Science University Mail-dc9r, Portland, OR 97239-3011 | 2008-11-20 |
| 1649482191 | Sharon Middleton Green | Social Worker | 121 Prosperous Pl Ste 8a, Lexington, KY 40509-1834 | 2007-05-04 |
| 1487647459 | Sharon Vincentine Green | Counselor | 612 Herman St, Rapid City, SD 57701-1531 | 2005-08-25 |
| 1528514924 | Sharon Denise Green | Social Worker | 1513 Line Ave Ste 135, Shreveport, LA 71101 | 2016-08-26 |
| 1649724055 | Sharon Green | Social Worker | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2016-08-15 |
| 1659783926 | Sharon Green | Registered Nurse | 2129 West Street, 224, Germantown, TN 38138 | 2014-05-21 |
| 1871925545 | Sharon Green | Counselor | 4201 Church Rd, Mount Laurel, NJ 08054-2231 | 2013-08-05 |
| 1407100167 | Sharon A. Green | Nurse Practitioner | 1250 Inverness Cors, Birmingham, AL 35242-3794 | 2012-11-02 |
| 1295002947 | Sharon L Green | Assisted Living Facility | 11800 City Park Central Ln, Houston, TX 77047-3242 | 2011-11-23 |
| 1679899181 | Sharon Gwen Green | Registered Nurse | 167 N Main St., Tuba City, AZ 86045-0600 | 2010-04-09 |
| Street Address |
9600 ROOSEVELT BLVD SUITE 202 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19115-3932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538412416 | Dedicated Doctors, P.C. | Family Medicine | 9600 Roosevelt Blvd, Suite 202, Philadelphia, PA 19115-3932 | 2012-10-17 |
| 1730400656 | Rapidly Recover Durable Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 9600 Roosevelt Blvd, Philadelphia, PA 19115-3932 | 2010-06-15 |
| 1336272822 | Dolores Ann Miller | Physician Assistant | 9600 Roosevelt Blvd, Suite 202, Philadelphia, PA 19115-3932 | 2007-03-13 |
| 1881631737 | Physician Oncology, Ltd. | Exclusive Provider Organization | 9600 Roosevelt Blvd, Suite 301, Philadelphia, PA 19115-3932 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| 1639717762 | Cassondra Ondeck | Physical Therapist | Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 | 2019-12-19 |
| 1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
| 1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1659857027 | Kiesha Anita Abney | Occupational Therapy Assistant | Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 | 2018-07-18 |
| 1457844870 | Philadelphia Discount Pharmacy LLC | Pharmacist | 842 Red Lion Road Unit 13, Philadephia, PA 19115 | 2018-06-11 |
| 1770001828 | Ciarra Bell | Occupational Therapist | 828 Red Lion Rd, Philadelphia, PA 19115 | 2017-09-08 |
| 1245604008 | Saria Ibrahim | Counselor | 9651 Clark Street, Philadelphia, PA 19115 | 2015-11-17 |
| 1124413166 | Global Dental Plus LLC | Dentist | 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 | 2015-04-06 |
| 1932510161 | Miriam John | Occupational Therapist | 9997 Sandy Road, Philadelphia, PA 19115 | 2014-05-09 |
| Find all providers in zip 19115 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311575 | Jennifer Victoria Hart | Counselor | 1644 W Champlost St, Philadelphia, PA 19141-1819 | 2020-09-19 |
| 1184233892 | Jordyn Occhipinti | Counselor | 429 Daly St, Philadelphia, PA 19148-5702 | 2020-07-28 |
| 1346868783 | Walter J Bullock | Counselor | 1831 Wakeling St, Philadelphia, PA 19124-2855 | 2020-07-13 |
| 1114544475 | Atiya Walida Pope | Counselor | 1027 Wagner Ave, Philadelphia, PA 19141-2927 | 2020-07-01 |
| 1639795560 | Caroline Maccherone | Counselor | 2207 E Norris St, Philadelphia, PA 19125-1905 | 2020-06-16 |
| 1093339988 | Brianna Bliss | Counselor | 836 S Howard St, Philadelphia, PA 19147-3436 | 2020-06-05 |
| 1497376578 | Frank Allen Edwards Jr. | Counselor | 2506 S Broad St, Philadelphia, PA 19145-4639 | 2020-04-30 |
| 1083234538 | David Sparrow Sr. | Counselor | 2929 Arch St Ste 1746, Philadelphia, PA 19104-2857 | 2020-04-24 |
| 1316567654 | Cheryl D Nelson | Counselor | 3300 Henry Ave Ste 302, Philadelphia, PA 19129-1314 | 2020-04-16 |
| 1952938912 | Marjola Como | Counselor | 108 Cliffwood Rd, Philadelphia, PA 19115-2715 | 2020-03-26 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19115 |
Please comment or provide details below to improve the information on SHARON GREEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.