Provider Demographics
NPI:1578267308
Name:GREENE, CHRISTIE L (LCSW-A)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:L
Last Name:GREENE
Suffix:
Gender:F
Credentials:LCSW-A
Other - Prefix:
Other - First Name:CHRISTIE
Other - Middle Name:L
Other - Last Name:CUTSHAW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW-A
Mailing Address - Street 1:3175 E ANDREW JOHNSON HWY
Mailing Address - Street 2:
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37745-0963
Mailing Address - Country:US
Mailing Address - Phone:931-486-8670
Mailing Address - Fax:615-796-6911
Practice Address - Street 1:3175 E ANDREW JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-0963
Practice Address - Country:US
Practice Address - Phone:931-486-8670
Practice Address - Fax:615-796-6911
Is Sole Proprietor?:No
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical