Douglas James Green II, MSW

Primary specialty

School CounselorTaxonomy code 101YS0200X

License

071 Issued in CT

Practice address

555 Windsor St
Hartford, CT 06120-2418

Phone

(860) 560-5600

NPI assigned

Sep 21, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Renewal Team, Inc.

  • Adult Companion
  • Hartford, CT
  • NPI 1861608135
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1003539503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 WINDSOR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061202418",
            "telephone_number": "860-560-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WINDSOR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061202418",
            "telephone_number": "860-560-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DOUGLAS",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CT",
            "license": "071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "greend@crtct.org",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "555 Windsor St",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061202418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Greater Hartford Physical Therapy
• Greater Hartford Psychiatric Services, LLC
• Victoria Carolyn Greco, PA-C
• Jane Greebel
• Allisia N Green, LPC
• Leon G Green, LCSW
• Orlene Janice Green, L.A.D.C., LPC., M.A.
• Samantha Green, PHARMD
• Syrette W Green, MSW
• Rachel Dena Greenberg, APRN

• School Counselor in Hartford, CT
• Providers in Hartford, CT by specialty
• School Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.