Individual provider Active NPI

Joelle Greene, LCSW

  • Clinical Social Worker
  • Bainbridge, NY
National Provider Identifier
1114973419
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P045010 Issued in NY
Practice address
2567 State Highway 7
Bainbridge, NY 13733-3307
Phone
(607) 244-4668
NPI assigned
May 26, 2006
Last updated
Jul 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P045010 NY Primary

Addresses

Primary practice location

2567 State Highway 7
Bainbridge, NY 13733-3307

Mailing address

2567 State Highway 7
Bainbridge, NY 13733-3307
Phone (607) 244-4668

Other identifiers 1

IdentifierTypeStateIssuer
02320872MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040715000180 NY Practitioner - Clinical Social Worker 5991784803 Practice locations: Oneonta, NY
I20231117001972 CT Practitioner - Clinical Social Worker 5991784803 Practice locations: Durham, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3200 Chestnut St
Suite 121
Oneonta, NY 13820-1045
Phone (607) 224-4668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P045010NYMDClinical Social Worker
045010NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Therapy LCSW P.C. Clinical Past Accepting new patients
Stillwater Occupational Therapy & Social Work Group, PLLC Clinical Past Accepting new patients
Metropolitan Psychological & Licensed Master Social Work Services PLLC Clinical Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1114973419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2567 STATE HIGHWAY 7",
            "city": "BAINBRIDGE",
            "state": "NY",
            "postal_code": "137333307",
            "telephone_number": "607-244-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2567 STATE HIGHWAY 7",
            "city": "BAINBRIDGE",
            "state": "NY",
            "postal_code": "137333307",
            "telephone_number": "607-244-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "JOELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P045010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02320872",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge, NY

Sources for this page

Verify at the official NPI Registry.