Individual provider Active NPI

Frances Ellen Green, LICSW

  • Mental Health Counselor
  • Waltham, MA
National Provider Identifier
1093885584
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
111730 Issued in MA
Practice address
118 Central St
Waltham, MA 02453-5465
Phone
(781) 891-0555
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 111730 MA Primary

Addresses

Primary practice location

118 Central St
Waltham, MA 02453-5465

Mailing address

1 Fairbanks PL
Natick, MA 01760-7001
Phone (508) 653-4755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20040402001057 MA Practitioner - Clinical Social Worker 5395737746 Practice locations: Wellesley, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Wellesley, MA 02482
Phone (617) 513-9909

PO Box
Suite 812327
Wellesley, MA 02482-0017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111730MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Acadia Behavioral Health Associates Mental Health PastSince Jun 8, 2010 Accepting new patients
Wayside Youth and Family Support Network Mental Health PastSince Jan 30, 2025 Accepting new patients
Dr. Alison Mehta DO LLC PastSince Mar 22, 2015 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093885584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FAIRBANKS PL",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017607001",
            "telephone_number": "508-653-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CENTRAL ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535465",
            "telephone_number": "781-891-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "FRANCES",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "111730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.