Tanyatta Deanna Green, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

222 W 19TH St
Norfolk, VA 23517-2218

Phone

(757) 622-7017

NPI assigned

Jun 13, 2017

Sex

Female

Sole proprietor

No

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Peace of Mind Therapeutic Solutions

  • Psychiatric/Mental Health Nurse Practitioner
  • Portsmouth, VA
  • NPI 1477178218
  Medicare reassignment
• Child & Family Services of Eastern Virginia, Inc

  • Community/Behavioral Health Agency
  • Norfolk, VA
  • NPI 1629158159

  Clinical

  NPD (past)

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1033649157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 DOCK LANDING RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233211834",
            "telephone_number": "757-537-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W 19TH ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172218",
            "telephone_number": "757-622-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TANYATTA",
        "middle_name": "DEANNA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen A. Green, M.D.
• Jimmy W Green, MD
• Joram Josias Green
• Makena Nicole Green, MS, GC
• Stephanie Manuela Green, DPT
• Greenbrier Center for Behavioral Medicine P C
• Alexandra Leigh Greene, CRNA
• Jana C Greene, PT, DPT
• Kaitlyn Greenier
• Destini Greer

• Clinical Social Worker in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.