Jonna Green, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

120677 Issued in MA

Practice address

46 Englewood Ave Apt 22
Brighton, MA 02135-7862

Phone

(781) 264-4097

NPI assigned

Jan 8, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1053709493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 ENGLEWOOD AVE APT 22",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021357862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 ENGLEWOOD AVE APT 22",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021357862",
            "telephone_number": "781-264-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JONNA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "219351",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Gramolini, MD
• Greater Boston Chinese Golden Age Center, Inc.
• Greater Boston Patient Care, LLC
• Greater Boston Wellness Group
• Diana Rose Green, O.D.
• Richard Green
• Danielle Nycole Greenaway, LPN
• Greenleaf Pharmacy LLC (Melvin Rx)
• Greenleaf Pharmacy LLC LTC
• Cory Greguske, DO

• Clinical Social Worker in Brighton, MA
• Providers in Brighton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.