Individual provider Active NPI

Ken J Greene, LCSW

  • Social Worker
  • Bedford Hills, NY
National Provider Identifier
1053384370
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0526001 Issued in NY
Practice address
333 Adams St
Bedford Hills, NY 10507-2001
Phone
(914) 242-0725
Fax
(914) 242-5152
NPI assigned
Feb 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0526001 NY Primary

Addresses

Primary practice location

333 Adams St
Bedford Hills, NY 10507-2001

Mailing address

333 Adams St
Bedford Hills, NY 10507-2001
Phone (914) 242-0725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0526001NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
TTC Psychiatric PC PastSince Aug 28, 2012 Accepting new patients
The Therapy Center LLP Social Worker PastSince Apr 23, 2016 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053384370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 ADAMS ST",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105072001",
            "telephone_number": "914-242-0725",
            "fax_number": "914-242-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ADAMS ST",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105072001",
            "telephone_number": "914-242-0725",
            "fax_number": "914-242-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "KEN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0526001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Hills, NY

Sources for this page

Verify at the official NPI Registry.