Provider Demographics
NPI:1588118905
Name:GREENE, JOSH (LICSW)
Entity type:Individual
Prefix:MR
First Name:JOSH
Middle Name:
Last Name:GREENE
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 F ST NE
Mailing Address - Street 2:HEALING ARTS OF CAPITOL HILL
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-4917
Mailing Address - Country:US
Mailing Address - Phone:202-544-9389
Mailing Address - Fax:
Practice Address - Street 1:316 F ST NE
Practice Address - Street 2:HEALING ARTS OF CAPITOL HILL
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4917
Practice Address - Country:US
Practice Address - Phone:202-544-9389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500778751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical