Sylvia Anne Green, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-18676 Issued in AZ

Practice address

10000 N 31St Ave Ste C100-152
Phoenix, AZ 85051-1397

Phone

(602) 833-8262

Fax

(602) 883-7847

NPI assigned

Sep 27, 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 AZ

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dedicated Dragonfly Therapy, LLC

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1962113357
  Medicare reassignment NPD Authorized official
• Satinder S. Purewal, M.D. LLC

  • Psychiatry Physician
  • Glendale, AZ
  • NPI 1528128311
  Medicare reassignment NPD
• Satinder S. Purewal, M.D. LLC

  • Psychiatry Physician
  • Chandler, AZ
  • NPI 1316702871
  NPD (past)
• Satinder S. Purewal, M.D. LLC

  • Psychiatry Physician
  • Surprise, AZ
  • NPI 1609631159
  NPD (past)

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1063921609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11820 N 43RD DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853043001",
            "telephone_number": "602-677-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 N 31ST AVE STE C100-152",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850511397",
            "telephone_number": "602-833-8262",
            "fax_number": "602-883-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SYLVIA",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-18676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noel Iline Green, NNP
• Rebekah Lynn Green, DNP PNP
• Sarah Helen Green, CNM
• Shannon Green, LMT
• Susan Helen Green, FNP
• Tamitha Green
• Timothy Edgar Green, PHARMD, RPH
• Rachel Nickole Greenawald
• Seth Greenbaum
• Alan R Greenberg, MD

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.

Verify at the official NPI Registry.