Provider Demographics
NPI:1548775869
Name:GREENE, PAIGE (LCSW-C)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:GREENE
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 BALTIMORE AVE
Mailing Address - Street 2:UNIT 207 #667
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21204-4097
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:606 BALTIMORE AVE
Practice Address - Street 2:UNIT 207 #667
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-4097
Practice Address - Country:US
Practice Address - Phone:707-469-3385
Practice Address - Fax:410-998-7977
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-08
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD224821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical