Provider Demographics
NPI:1912329962
Name:POSEY-GREEN, JANELLE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JANELLE
Middle Name:
Last Name:POSEY-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 1:300 STATE ST
Mailing Address - Street 2:STE 201
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-6112
Mailing Address - Country:US
Mailing Address - Phone:860-373-6077
Mailing Address - Fax:
Practice Address - Street 1:302 STATE ST.
Practice Address - Street 2:SUITE 201
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320
Practice Address - Country:US
Practice Address - Phone:860-373-6077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-10
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTD400380461Medicaid