Provider Demographics
NPI:1023872926
Name:GREENE, AMI IRISH (LCSWA)
Entity type:Individual
Prefix:
First Name:AMI
Middle Name:IRISH
Last Name:GREENE
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-8231
Mailing Address - Country:US
Mailing Address - Phone:828-450-5946
Mailing Address - Fax:
Practice Address - Street 1:802 FAIRVIEW RD STE 4000
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1170
Practice Address - Country:US
Practice Address - Phone:828-367-7719
Practice Address - Fax:828-820-5503
Is Sole Proprietor?:No
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0198461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical