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SADIE GREEN
NPI 1114388105
Social Worker - Clinical in Ponderay, ID

Active since March 17, 2016
207 LARKSPUR ST, PONDERAY, ID 83852(208) 255-3334 Get Directions Write a Review

NPPES record last updated: July 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sadie Green NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SADIE GREEN (NPI 1114388105) is an individual clinical provider in Ponderay, Idaho, licensed in Idaho (LCSW-35936) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1114388105
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSADIE GREEN
Location Address207 LARKSPUR STPonderay, ID 83852-5011
Mailing Address514 N Sixth AveSandpoint, ID 83864-1525 · (304) 209-0700
Phone(208) 255-3334
Sole ProprietorYes
Enumeration DateMarch 17, 2016
Last NPPES UpdateJuly 27, 2016
✔ NPI 1114388105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ID · LCSW-35936
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
207 LARKSPUR ST, Ponderay, ID 83852
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA LOUISE LAWRENCE LCSW
Social Worker (Clinical)
207 LARKSPUR ST
PONDERAY, ID 83852
Bonner County (208) 255-3314
JOANNA RICHTER
Registered Nurse
207 LARKSPUR ST
PONDERAY, ID 83852
Bonner County (208) 255-3313
ELIZABETH LARSEN B.S.
Developmental Therapist
207 LARKSPUR ST
PONDERAY, ID 83852
Bonner County (208) 610-8652
IDAHO DEPT OF HEALTH & WELFARE REG 1 AHM PSR SANDPOINT
Clinic/Center (Mental Health (Including Community Mental Health Center))
207 LARKSPUR ST
PONDERAY, ID 83852
Bonner County (208) 265-4535
IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC SANDPOINT
Clinic/Center (Adult Mental Health)
207 LARKSPUR ST
PONDERAY, ID 83852
Bonner County (208) 265-4535
SUSAN HANSEN M.ED.
Developmental Therapist
207 LARKSPUR ST
PONDERAY, ID 83852
Bonner County (208) 255-3304
CAROL YOUNG LMFT, LPC
Marriage & Family Therapist
207 LARKSPUR ST
PONDERAY, ID 83852
Bonner County (208) 610-5795

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sadie Green's NPI number?

The NPI number for Sadie Green is 1114388105. It was assigned to this individual provider in the NPPES registry on March 17, 2016.

Where is Sadie Green located?

Sadie Green practices at 207 Larkspur St, Ponderay, ID 83852. The listed phone number is (208) 255-3334.

What is Sadie Green's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Sadie Green was last updated on July 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.