Provider Demographics
NPI:1689606428
Name:GREEN, ERICA NAPPI (LCSW, CADC)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:NAPPI
Last Name:GREEN
Suffix:
Gender:F
Credentials:LCSW, CADC
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:C
Other - Last Name:NAPPI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, CADC
Mailing Address - Street 1:825 MAIN ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-2872
Mailing Address - Country:US
Mailing Address - Phone:207-854-0406
Mailing Address - Fax:207-854-0406
Practice Address - Street 1:825 MAIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092-2872
Practice Address - Country:US
Practice Address - Phone:207-854-0406
Practice Address - Fax:207-854-0406
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC77091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME432087600Medicaid
ME432087600Medicaid