MRS. CHERYL ANN GREEN (NPI# 1518029602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518029602 |
| Entity Type | Individual |
| Full Name | MRS. CHERYL ANN GREEN |
| Credential | LCSW |
| Practice Address |
8 Wakeman Road Fairfield CT 06824 |
| Practice Telephone | 2034502665 |
| Practice Fax Number | 8883996431 |
| Mailing Telephone | 2034502665 |
| Mailing Fax Number | 8883996431 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2014-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
004019 | CT | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
004019 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588196455 | Cheryl A Green | Clinical Nurse Specialist | 70 Technology Ln, Cowen, WV 26206-3702 | 2017-03-30 |
| 1053602151 | Cheryl Lea Green | Psychiatry & Neurology | Behavioral Medicine Center, Loma Linda University, 1710 Barton Rd, Redlands, CA 92373-5304 | 2011-04-22 |
| 1457523037 | Cheryl M Green | Marriage & Family Therapist | 22 Brookfield Rd, Brimfield, MA 01010-9794 | 2008-03-24 |
| 1902001951 | Cheryl A Green | Counselor | 421 1st St, Marks, MS 38646-1302 | 2007-06-19 |
| 1063991438 | Cheryl Ann Green | Nurse Practitioner | 970 E Washington St Ste 2f, Medina, OH 44256-2181 | 2018-08-07 |
| 1639671456 | Cheryl Lee Green | Nurse Practitioner | 7855 S Emerson Ave Ste H, Indianapolis, IN 46237-8669 | 2018-03-07 |
| 1659523884 | Cheryl Green | Occupational Therapist | 1700 Market St, Camp Hill, PA 17011-4817 | 2008-10-21 |
| 1366563496 | Cheryl Louise Green | Physician Assistant | 2401 E Street Nw, Dept of State, Office of Med Services, Qi, Washington, DC 20522-0102 | 2007-04-03 |
| 1831236660 | Cheryl Ann Green | Social Worker | 26184 Outer Dr, Lincoln Park, MI 48146-2084 | 2007-01-31 |
| 1437203924 | Cheryl Ann Green | Social Worker | 1501 E Mockingbird Ln, Suite 262, Victoria, TX 77904-2139 | 2007-01-22 |
| Street Address |
8 WAKEMAN ROAD |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1871018390 | Richard Matthew Carraway | Nurse Practitioner | 117 Carlynn Drive, Fairfield, CT 06824 | 2017-08-05 |
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1487198214 | Evamarie Koehler Elinskas | Speech-Language Pathologist | 50 Potters Lane, Fairfield, CT 06824 | 2016-12-13 |
| 1447794441 | Nicholas C Kopazna | Counselor | 433 Meadow St, Fairfield, CT 06824 | 2016-12-09 |
| 1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
| 1184087660 | Beth Segaloff | Social Worker | 191 Catherine Terrace, Fairfield, CT 06824 | 2016-04-01 |
| 1518342781 | April Vanbergen | Counselor | 1275 Post Rd., Suite A5, Fairfield, CT 06824 | 2015-07-29 |
| 1982089181 | Mary Cilio | Social Worker | 173 Samp Mortar Drive, Fairfield, CT 06824 | 2015-07-29 |
| Find all providers in zip 06824 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757838 | Tree of Life Centers | Social Worker | 191 Catherine Ter, Fairfield, CT 06824-6463 | 2020-10-16 |
| 1386260040 | Phoebe Ward Gould Musico | Social Worker | 45 Pope St, Fairfield, CT 06825-4328 | 2020-06-18 |
| 1003445008 | Jennifer Mikell Lincoln | Social Worker | 1325 Crowley Ln Apt 6, Fairfield, CA 94533-6001 | 2020-04-02 |
| 1174166185 | Holly Mundon | Social Worker | 5 Darby Heath, Fairfield, OH 45014-5261 | 2019-10-22 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1730642935 | Susan Lipman Henry | Social Worker | 35 Nutmeg Ln, Fairfield, CT 06824-3909 | 2019-04-13 |
| 1689138133 | Sue Nadel | Social Worker | 60 Hitching Post Ln, Fairfield, CT 06824-3133 | 2019-01-29 |
| 1194296905 | Claudia Mast | Social Worker | 301 W Burlington, Fairfield, IA 52556-5255 | 2018-12-06 |
| 1942782842 | Michael Joseph Molina | Social Worker | 510 Parker Rd, Fairfield, CA 94533-9000 | 2018-09-06 |
| 1134605256 | Ashley Marie Stringer | Social Worker | 7000 Grasselli Rd, Fairfield, AL 35064-2424 | 2018-07-11 |
| Find all providers in FAIRFIELD | ||||
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| 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.