Provider Demographics
NPI:1851566152
Name:GREENE, CLAIRE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:
Last Name:GREENE
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 1:22704 VENTURA BLVD # 295
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1333
Mailing Address - Country:US
Mailing Address - Phone:818-227-9444
Mailing Address - Fax:818-227-9799
Practice Address - Street 1:22704 VENTURA BLVD
Practice Address - Street 2:#295
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1333
Practice Address - Country:US
Practice Address - Phone:818-227-9444
Practice Address - Fax:818-227-9799
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS155131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical