Active NPI
Lenore Ella Green, LCSW
- Social Worker
- West Nyack, NY
National Provider Identifier
1063528545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- PR0169651
- Practice address
- 719 W Nyack Rd
Office 40
West Nyack, NY 10994 - Phone
- (845) 358-2546
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | PR0169651 | NY | Primary |
Addresses
Primary practice location
719 W Nyack Rd
Office 40
West Nyack, NY 10994
Mailing address
719 W Nyack Rd
#40
West Nyack, NY 10994
Phone (845) 358-2546
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T1249657 | Other | OXFORD | |
| 0046054 | Other | VALUE OPTIONS GHI | |
| 173932 | Other | MHN |
Other names 1
- Ms. Lenore Mintus
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101117000039 | NY | Practitioner - Clinical Social Worker | 2668667668 | Practice locations: Nanuet, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
55 Old Nyack Tpke
Suite 601
Nanuet, NY 10954-2454
Phone (845) 358-2546
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR0169651 | NY | MD | Social Worker |
| 016965 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063528545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 W NYACK RD",
"address_2": "#40",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "10994",
"telephone_number": "845-358-2546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 W NYACK RD",
"address_2": "OFFICE 40",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "10994",
"telephone_number": "845-358-2546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "LENORE",
"middle_name": "ELLA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "PR0169651",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "T1249657",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS GHI",
"identifier": "0046054",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "173932",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LENORE",
"last_name": "MINTUS",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in West Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.