Etheldra A. Green
NPI 1467094128ActiveIndividual· Social Worker· Bristol, FL
Social Worker in Bristol, Florida, licensed in FL, with an NPI issued in October 2019.
Overview
| NPI | 1467094128 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 15, 2019 |
| Last updated in NPPES | Oct 15, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | ISW13573 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Social Worker providers in Bristol
- 1649221011
- 1295334241
- 1144984246
- 1205459583
- 1306496229
- 1407642069
- 1609424100
- 1235603267
- 1548860455