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ETHELDRA A GREEN
NPI 1467094128
Social Worker in Bristol, FL

Active since October 15, 2019
10611 NW SR 20, BRISTOL, FL 32321(850) 643-1033 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Etheldra A Green NPPES

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

ETHELDRA A GREEN (NPI 1467094128) is an individual social worker in Bristol, Florida, licensed in Florida (ISW13573) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1467094128
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameETHELDRA A GREEN
Location Address10611 NW SR 20Bristol, FL 32321-3232
Mailing Address8116 Blenheim LnTallahassee, FL 32312-6802 · (850) 345-2416
Phone(850) 643-1033
Sole ProprietorNo
Enumeration DateOctober 15, 2019
✔ NPI 1467094128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in FL · ISW13573
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
10611 NW SR 20, Bristol, FL 32321
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Other Identifiers 1

OtherISW13573FL · State Of Florida Doh

Other Providers at the Same Location NPPES 12

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

MRS. MADISON LYNN EDWARDS MSW
Social Worker (School)
10611 NW SR 20
BRISTOL, FL 32321
Liberty County (618) 318-3087
MRS. KIMBERLY MCMILLAN
Counselor
10611 NW SR 20
BRISTOL, FL 32321
Liberty County (850) 643-1033
TANEJA RODGERS
Social Worker (Clinical)
10611 NW SR 20
BRISTOL, FL 32321
Liberty County (850) 643-1033
JATEASIA ASHLEY LITTLES MSW
Counselor (Mental Health)
10611 NW SR 20
BRISTOL, FL 32321
Liberty County (850) 643-1033
EMILY LOUISE RATTINI-REICH MSW
Counselor (Mental Health)
10611 NW SR 20
BRISTOL, FL 32321
Liberty County (850) 643-1033
KENNESSE DEW
Social Worker
10611 NW SR 20
BRISTOL, FL 32321
Liberty County (850) 643-1033
DEMETRIA MICHELLE ENGLISH
Counselor (Mental Health)
10611 NW SR 20
BRISTOL, FL 32321
Liberty County (850) 643-1033
LEXI OLIVIA HARRIS
Counselor (Mental Health)
10611 NW SR 20
BRISTOL, FL 32321
Liberty County (850) 643-1033

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 Etheldra Green's NPI number?

The NPI number for Etheldra Green is 1467094128. It was assigned to this individual provider in the NPPES registry on October 15, 2019.

Where is Etheldra Green located?

Etheldra Green practices at 10611 NW Sr 20, Bristol, FL 32321. The listed phone number is (850) 643-1033.

What is Etheldra Green's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Etheldra Green was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.