Provider Demographics
NPI:1730977745
Name:GREEN, SUSAN UNGER (MSW)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:UNGER
Last Name:GREEN
Suffix:
Gender:
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 BRADFORD ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-2986
Mailing Address - Country:US
Mailing Address - Phone:617-213-6887
Mailing Address - Fax:
Practice Address - Street 1:34 LINCOLN ST STE B7
Practice Address - Street 2:
Practice Address - City:NEWTON HIGHLANDS
Practice Address - State:MA
Practice Address - Zip Code:02461-1507
Practice Address - Country:US
Practice Address - Phone:617-213-6887
Practice Address - Fax:617-213-6887
Is Sole Proprietor?:No
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health