Ailie Green | Brentwood, TN • PECOS Search

Ailie Green

Social Worker

Behavioral Health & Social Service Providers

8011 Brooks Chapel Road, Suite 651, Brentwood, TN 37027-9998

PECOS Enrollment

Based on the most recent information from CMS, provider Ailie Green is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:54 AM.

Profile Details

Provider ID
1376149559
Provider Type
Individual
Full Name
Green, Ailie
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/11/2020
Last Updated
3/4/2021

Contact Information

Practice Location

8011 Brooks Chapel Road, Suite 651, Brentwood, TN 37027-9998

Unlisted Fax

Mailing Location

212 Skyline Dr, Brentwood, TN 37027-5303

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 7267 Tennessee