Active NPI
Judy G Green, LCSW
- Clinical Social Worker
- Centennial, CO
National Provider Identifier
1114275401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 176
- Practice address
- 6081 S Quebec St Ste 200
Centennial, CO 80111-4538 - Phone
- (303) 721-7330
- NPI assigned
- Aug 17, 2012
- Last updated
- Aug 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 176 | CO | Primary |
Addresses
Primary practice location
6081 S Quebec St Ste 200
Centennial, CO 80111-4538
Mailing address
11480 Night Heron Dr
Parker, CO 80134-4338
Phone (303) 805-9688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 176 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345161600000",
"number": "1114275401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11480 NIGHT HERON DR",
"city": "PARKER",
"state": "CO",
"postal_code": "801344338",
"telephone_number": "303-805-9688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6081 S QUEBEC ST STE 200",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801114538",
"telephone_number": "303-721-7330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "JUDY",
"middle_name": "G",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-17",
"last_updated": "2012-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.