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Adrienne Elizabeth Green

Social Worker

Behavioral Health & Social Service Providers

36000 Euclid Ave, Willoughby, OH 44094-4625

(440) 602-6421 (216) 731-1975

PECOS Enrollment

This provider is enrolled in PECOS as ADRIENNE GREEN.

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

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

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1639384845
Provider Type
Individual
Full Name
Green, Adrienne Elizabeth
Title
Mrs.
Credential
LISW

Gender
Female
Sole Proprietor
No
Enumeration Date
5/11/2007
Last Updated
7/8/2007

Contact Information

Practice Location

36000 Euclid Ave, Willoughby, OH 44094-4625

(440) 602-6421

(440) 602-6425

Mailing Location

27090 Mallard Ave, Euclid, OH 44132-1517

(216) 731-1975

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License I0009304 Ohio

Adrienne Elizabeth Green

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Gottlob Cullen, Louise

O'Maille, Nancy Teresa

Kathryn A Biddle Katebiddlellc

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Whittington, Trisha Lynn

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