Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Etheldra A Green

Social Worker in Bristol, FL · enumerated 2019.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1467094128

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Registry record

Entity type Individual (Type 1)

Name Etheldra A Green

Sex Female

Practice address 10611 Nw Sr 20, Bristol, FL, 32321

Phone (850) 643-1033

Enumeration date Oct 15, 2019

Last updated in NPPES Oct 15, 2019

Taxonomy & licenses

104100000X Social Worker Behavioral Health & Social Service Providers · License ISW13573 (FL) Primary

Other identifiers

Identifier	Type	State	Issuer
ISW13573	Other	FL	STATE OF FLORIDA DOH

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Etheldra Green?

Etheldra Green is registered in NPPES with the primary taxonomy of Social Worker. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-10-15.