William Mack Green, LCSW, LSAC - Counselor in Bountiful, UT

William Mack Green, LCSW, LSAC is a Social Worker - Clinical based in Bountiful, Utah. William Mack Green is licensed to practice in Utah (license number 4932942-3501) and his current practice location is 107 N Main St, Bountiful, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 244-5166.

NPI number for William Mack Green is 1013246131 and his current mailing address is 590 E Center St, Centerville, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013246131.

Contact Information

William Mack Green, LCSW, LSAC
107 N Main St,
Bountiful, UT 84010-6162
(801) 244-5166
Not Available

Healthcare Provider's Profile

Full NameWilliam Mack Green
GenderMale
SpecialitySocial Worker - Clinical
Location107 N Main St, Bountiful, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013246131
  • Provider Enumeration Date: 12/19/2009
  • Last Update Date: 12/19/2009

Medical Identifiers

Medical identifiers for William Mack Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013246131NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 4932942-6006 (Utah)Secondary
1041C0700XSocial Worker - Clinical 4932942-3501 (Utah)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. William Mack Green 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
William Mack Green, LCSW, LSAC
590 E Center St,
Centerville, UT 84014-2305

Ph: (801) 244-5166
William Mack Green, LCSW, LSAC
107 N Main St,
Bountiful, UT 84010-6162

Ph: (801) 244-5166

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Social Worker in Bountiful, UT


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