Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467094128 Individual Practitioner Female Practitioner

Etheldra A Green

Social Worker • Bristol, FL

Professional Overview & Biography Verified Profile Summary

Etheldra Green is a registered healthcare professional specializing in Social Worker in Bristol, FL. Practice services are available at 10611 NW SR 20 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10611 Nw Sr 20

Bristol, FL 323213232

Telephone 8506431033
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Bristol, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
9 Specialists

Practicing in Bristol, FL (5606 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License FL ISW13573

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State Of Florida Doh
ISW13573 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

38 Associated Practitioners
Samone Franklin , MSW

Counselor - Mental Health

NPI 1023683265

Master of Social Work

NPI 1063174969
Ko-Hui Lin , MS

Art Therapist

NPI 1063368942

Master of Science

Taneja Rodgers

Social Worker - Clinical

NPI 1124633888
NPI 1144984246

Master of Social Work

Jateasia Littles , MSW

Counselor - Mental Health

NPI 1174138697

Master of Social Work

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 15, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 15, 2019

Registered at 10611 NW SR 20, BRISTOL, FL 323213232 (Tel: 8506431033)

📍
Updated Business Mailing Address October 15, 2019

Registered at 8116 BLENHEIM LN, TALLAHASSEE, FL 323126802 (Tel: 8503452416)

👤
Provider Name / Credentials Updated October 15, 2019

Recorded as ETHELDRA GREEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2019

Social Worker (License #ISW13573 in FL)

🟢
Initial NPI Registration & Enumeration October 15, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467094128
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2019
Last Update: October 15, 2019
Sole Proprietor: No

Mailing Address

8116 Blenheim Ln

Tallahassee, FL 323126802

Phone: 8503452416

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.