MS. MARY LOU GREEN LMSW MSW NPI 1629122395

NPI Information

  • NPI: 1629122395
  • Provider Name: MS. MARY LOU GREEN, LMSW MSW
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • Address: 1919 GADSDEN ST
    COLUMBIA, SC
    ZIP 29202
  • Phone: (803) 779-5356

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NPI Details

MS. Mary Lou Green, LMSW MSW is a social worker in Columbia, SC. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. MS. Mary Lou Green, LMSW MSW NPI is 1629122395. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1919 GADSDEN ST
COLUMBIA, SC
ZIP 29202-462
Phone: (803) 779-5356
Fax: (803) 779-2135

The enumeration date for this NPI number is 1/22/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial Worker3045SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1QM0420MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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