Jennifer Leanne Greene, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

082739 Issued in NY

Practice address

416 North Tioga Street
Suite Number 5
Ithaca, NY 14850-4368

Phone

(607) 342-3654

NPI assigned

Dec 28, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1023348984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 MUZZY RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148509412",
            "telephone_number": "607-342-3654",
            "fax_number": "607-753-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 NORTH TIOGA STREET",
            "address_2": "SUITE NUMBER 5",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504368",
            "telephone_number": "607-342-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "JENNIFER",
        "middle_name": "LEANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-28",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanhom L Green, REGISTERED NURSE
• Suzanne Katherine Green, SLP
• Ann D Greenberg, LIC. ACC. CMHC
• Hilary Beth Greenberger
• Bruce L Greene, M.D.
• Sarah Murphy Gregory, M.S., CCC-SLP
• Pierre Gremaud, D.C.
• Erin Constance Griffeth, RNFA
• Barbara K. Griffin, NP
• Brenda Griffin, DVM

• Clinical Social Worker in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.