Leon G Green, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11331 Issued in CT

Practice address

51 Coventry St
Hartford, CT 06112-1525

Phone

(860) 293-6355

Fax

(860) 297-0915

NPI assigned

Jan 7, 2019

Last updated

Jan 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of Connecticut

  dba Capitol Region Mental Health Center

  • Psychiatric Hospital
  • Hartford, CT
  • NPI 1487689022
  Medicare reassignment NPD
• The Green Therapeutic Center

  • Clinical Social Worker
  • Windsor, CT
  • NPI 1821850298
  NPD Authorized official
• State of Connecticut

  dba Department of Veterans' Affairs, Veterans Home

  • Skilled Nursing Facility
  • Rocky Hill, CT
  • NPI 1205951662
  NPD
• Eastern Connecticut Medical Professionals Foundation, Inc

  dba Eastern Orthopeadics and Sports Medicine, PC

  • Specialist
  • South Windsor, CT
  • NPI 1497864516
  NPD (past)

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1063985547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 ALBANY AVE # 1174",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172335",
            "telephone_number": "860-752-3432",
            "fax_number": "860-297-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 COVENTRY ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121525",
            "telephone_number": "860-293-6355",
            "fax_number": "860-297-0915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 N Main St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "060422086",
            "country_code": "US",
            "telephone_number": "860-533-3434 x3887",
            "fax_number": "860-647-6829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2380 Main Street STE 100",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "06033",
            "country_code": "US",
            "telephone_number": "860-837-0276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LEON",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-07",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "4645",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "58.011331",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Hartford Psychiatric Services, LLC
• Victoria Carolyn Greco, PA-C
• Jane Greebel
• Allisia N Green, LPC
• Douglas James Green II, MSW
• Orlene Janice Green, L.A.D.C., LPC., M.A.
• Samantha Green, PHARMD
• Syrette W Green, MSW
• Rachel Dena Greenberg, APRN
• Greene Chiropractic, LLC

• Clinical Social Worker in Hartford, CT
• Providers in Hartford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.