Jennifer Green, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW006608 Issued in GA

Practice address

125 N Broad St Ste 210
Thomasville, GA 31792-8129

Phone

(229) 403-4239

NPI assigned

Jan 10, 2025

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1053121079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 NORTHFIELD DR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317579505",
            "telephone_number": "229-403-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N BROAD ST STE 210",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317928129",
            "telephone_number": "229-403-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JENNIFER",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW006608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose M Grave de Peralta, MD
• Graves Psychological Services
• Montserrat Mitchell Graves, PH.D.
• Timothy G Grayson, M.D.
• Brooklyn Walsh Green, PA-C
• Maggie Braxton Green, PHARMD
• Melanie Stodard Green, OTR L
• Emily Greene, DPT
• Melinda Greene
• Jessica Greil-Burkhart

• Social Worker in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.