Provider Demographics
NPI:1861980971
Name:GREEN, JULIE JOLENE (MSW)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:JOLENE
Last Name:GREEN
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 1:1585 KAPIOLANI BLVD STE 1800
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4500
Mailing Address - Country:US
Mailing Address - Phone:888-724-3599
Mailing Address - Fax:
Practice Address - Street 1:1585 KAPIOLANI BLVD STE 1800
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4500
Practice Address - Country:US
Practice Address - Phone:888-724-3599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-24
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker