Gregory Malcom Green Sr, LPC - Counselor in Bloomfield, CT

Gregory Malcom Green Sr, LPC is a Counselor - Mental Health based in Bloomfield, Connecticut. Gregory Malcom Green Sr is licensed to practice in Connecticut (license number 5313) and his current practice location is 701 Cottage Grove Rd, Bloomfield, Connecticut. He can be reached at his office (for appointments etc.) via phone at (860) 209-0625.

NPI number for Gregory Malcom Green Sr is 1861147902 and his current mailing address is 141 Fieldstone Dr, Windsor, Connecticut. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861147902.

Contact Information

Gregory Malcom Green Sr, LPC
701 Cottage Grove Rd,
Bloomfield, CT 06002-3080
(860) 209-0625
Not Available

Healthcare Provider's Profile

Full NameGregory Malcom Green Sr
GenderMale
SpecialityCounselor - Mental Health
Location701 Cottage Grove Rd, Bloomfield, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1861147902
  • Provider Enumeration Date: 02/17/2022
  • Last Update Date: 11/20/2023

Medical Identifiers

Medical identifiers for Gregory Malcom Green Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861147902NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 005313 (Connecticut)Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
101YM0800XCounselor - Mental Health 5313 (Connecticut)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gregory Malcom Green Sr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gregory Malcom Green Sr, LPC
141 Fieldstone Dr,
Windsor, CT 06095-1663

Ph: () -
Gregory Malcom Green Sr, LPC
701 Cottage Grove Rd,
Bloomfield, CT 06002-3080

Ph: (860) 209-0625

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› Verified 5 days ago


Counselor in Bloomfield, CT

Patrice Anthia Moulton, LPC
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Phone: 860-243-3477    Fax: 860-243-3224
Mrs. Lissette Baez, LPC
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Phone: 860-243-6584    Fax: 860-243-6591
Mr. Martin Jackson Sr., MED., LADC
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Practice Location: 3 Barnard Ln, Suite 112, Bloomfield, CT 06002
Phone: 860-559-5759    Fax: 860-559-5759
Juan Hernandez,
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Medicare: Not Enrolled in Medicare
Practice Location: 693 Bloomfield Ave, Bloomfield, CT 06002
Phone: 860-731-5522    Fax: 860-731-5536
Gail Rosenfeld,
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Medicare: Not Enrolled in Medicare
Practice Location: 34 Wild Rose Ct, Bloomfield, CT 06002
Phone: 860-205-1743    
Tonya Gray,
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Medicare: Not Enrolled in Medicare
Practice Location: 693 Bloomfield Ave, Bloomfield, CT 06002
Phone: 860-731-5522    Fax: 860-731-5536
Joon Wilson,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 693 Bloomfield Ave, Bloomfield, CT 06002
Phone: 860-731-5522    

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