Individual ProviderJudy G GreenSocial WorkerBehavioral Health & Social Service ProvidersPractice Address6081 S Quebec St Ste 200, Centennial, CO 80111-4538(303) 721-7330(303) 805-9688PECOS EnrollmentBased on the most recent information from CMS, provider Judy G Green does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:02 AM.Profile DetailsProvider ID1114275401Provider TypeIndividualFull NameGreen, Judy GTitleMs.CredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date8/17/2012Last Updated8/17/2012Contact InformationPractice LocationPractice Address6081 S Quebec St Ste 200, Centennial, CO 80111-4538Phone(303) 721-7330FaxUnlisted FaxMailing LocationMailing Address11480 Night Heron Dr, Parker, CO 80134-4338Phone(303) 805-9688FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense176Colorado