Preston Greene, LMSW, CAADC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801014042 Issued in MI

Practice address

8484 M 119 Unit 17B
Harbor Springs, MI 49740-9542

Phone

(231) 535-2822

NPI assigned

Nov 6, 2019

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21307/brand/1/csg/1/fhir/r4

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.

• Bear River Primary Care

  • Family Medicine Physician
  • Gaylord, MI
  • NPI 1609427541
  NPD (past)
• Walloon Lake Recovery Lodge, LLC

  • Substance Abuse Rehabilitation Facility
  • Boyne Falls, MI
  • NPI 1750791505
  NPD (past)

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1073157665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 AMERICAS WAY APT 12518",
            "city": "BOX ELDER",
            "state": "SD",
            "postal_code": "577197600",
            "telephone_number": "231-881-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8484 M 119 UNIT 17B",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409542",
            "telephone_number": "231-535-2822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2329 Center St",
            "address_purpose": "LOCATION",
            "city": "Boyne Falls",
            "state": "MI",
            "postal_code": "497139268",
            "country_code": "US",
            "telephone_number": "231-535-2822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "829 W Main St Ste G",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351998",
            "country_code": "US",
            "telephone_number": "231-535-2822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2594 Springvale Rd",
            "address_purpose": "LOCATION",
            "city": "Boyne Falls",
            "state": "MI",
            "postal_code": "497139684",
            "country_code": "US",
            "telephone_number": "231-535-2822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "PRESTON",
        "credential": "LMSW, CAADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-06",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801014042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Fearon, RDN
• Renee Irene-Francis Foreman, LPTA
• Good Hart Investments
• Ashley Sue Granger, LMSW
• Luke Frederick Gray, PA-C
• Gregory Putalik, MD PC
• Brianna Gross, MSW, CAADC-DP
• Elise Hacker
• Rosalie Carol Hafner, OTR/L,WMMT,MFRP
• Garrett William Hair, PMHNP-BC

• Social Worker in Harbor Springs, MI
• Providers in Harbor Springs, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.