Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Etheldra A Green

Individual provider Social Worker · NPI 1467094128

Etheldra A Green is a Social Worker in Bristol, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019

Practice location Address checks out

10611 NW Sr 20
Bristol, FL 32321-3232
Phone: (850) 643-1033
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence ISW13573 (FL)

Record details

NPI number1467094128
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 15, 2019
Last updated in NPPESOctober 15, 2019
Mailing address8116 Blenheim Ln, Tallahassee, FL 32312-6802

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