Provider Demographics
NPI:1063790384
Name:GREENE, HANNAH GRACE (MSW)
Entity type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:GRACE
Last Name:GREENE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 IVY RIDGE RD
Mailing Address - Street 2:APT 23
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-4121
Mailing Address - Country:US
Mailing Address - Phone:315-399-9131
Mailing Address - Fax:
Practice Address - Street 1:61 DELANO STREET
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:NY
Practice Address - Zip Code:13124
Practice Address - Country:US
Practice Address - Phone:315-298-6569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-03
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker