NPI 1063843845

Omar Green, MSW

Practitioner Clinical Social Worker Meriden, CT

Practice location

Address: 883 Paddock Avenue Rushford Center INC, Meriden, CT 06450-7044
Phone: (203) 630-5280

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Other Social Worker providers in Connecticut →

Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 000085 (CT)

Registry record

NPI: 1063843845
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Dec 2013
Record last updated: 2 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.