Provider Demographics
NPI:1558337097
Name:GREEN, BARBARA RUTH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:RUTH
Last Name:GREEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 40406
Mailing Address - Street 2:CENTERSTONE ASSOC
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-0406
Mailing Address - Country:US
Mailing Address - Phone:615-463-6600
Mailing Address - Fax:615-463-6603
Practice Address - Street 1:2105 EDWARD CURD LANE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067
Practice Address - Country:US
Practice Address - Phone:615-599-7680
Practice Address - Fax:615-599-3780
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW4101041C0700X
TNIP410104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker