Julian Green, LCSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10254 Issued in SC

Practice address

1 Chick Springs Rd Ste 313D
Greenville, SC 29609-4972

Phone

(864) 313-7047

Fax

(864) 670-8029

NPI assigned

Jul 1, 2015

Last updated

Dec 2, 2018By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

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.

• Hope Healing Happiness Life Solutions

  • Clinical Social Worker
  • Columbia, SC
  • NPI 1023608668
  NPD Authorized official
• Uplift Wellness Group LLC

  • Clinical Social Worker
  • Columbia, SC
  • NPI 1063014637
  NPD Authorized official

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543708800000",
    "number": "1114300647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ORCHARD PARK DR UNIT 26141",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296165051",
            "telephone_number": "864-313-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHICK SPRINGS RD STE 313D",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094972",
            "telephone_number": "864-313-7047",
            "fax_number": "864-670-8029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Palmetto Park Blvd",
            "address_2": "LCCMHC",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290727872",
            "country_code": "US",
            "telephone_number": "803-497-8024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054210",
            "country_code": "US",
            "telephone_number": "864-313-7047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 S Pleasantburg Dr # 6",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "29607",
            "country_code": "US",
            "telephone_number": "864-313-7047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JULIAN",
        "name_prefix": "Mr.",
        "credential": "LCSW, LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2018-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001639",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "10254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Greenville Family Health LLC
• Amanda Suzanne Green, FNP
• Hayley Sue Green
• James Franklin Green Jr., M.D.
• Jeanne McDaniel Green, D.C.
• Melissa Benscoter Green, M.S., CCC-SLP
• Rachael Green
• Shannon Green, APRN
• Siteria Dionne Green
• Syreeta R Green, PHARM.D.

• Clinical Social Worker in Greenville, SC
• Providers in Greenville, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2018; 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.