Nicolette Green, LSCSW, LCAC is a 
Social Worker - Clinical based in Overland Park, Kansas. Nicolette Green is licensed to practice in Kansas (license number 4081) and her current practice location is 
7927 Floyd St, Overland Park, Kansas. She can be reached at her office (for appointments etc.) via phone at 
(913) 302-8450.
NPI number for Nicolette Green is 1710167739 and her current mailing address is 7927 Floyd St, Overland Park, Kansas. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710167739.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Nicolette Green | 
|---|
| Gender | Female | 
|---|
| Speciality | Social Worker - Clinical | 
|---|
| Location | 7927 Floyd St, Overland Park, Kansas | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1710167739
 - Provider Enumeration Date: 11/07/2007
 - Last Update Date: 01/20/2019
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Nicolette Green such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1710167739 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 101YA0400X | Counselor - Addiction (substance Use Disorder)  | 240 (Kansas) | Secondary | 
| 1041C0700X | Social Worker - Clinical  | 4081 (Kansas) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicolette Green is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Nicolette Green, LSCSW, LCAC 7927 Floyd St, Overland Park, KS 66204-3724 Ph: (913) 302-8450 | Nicolette Green, LSCSW, LCAC 7927 Floyd St, Overland Park, KS 66204-3724 Ph: (913) 302-8450 | 
		
		 
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