Peter Edward Green, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

071365 Issued in NY

Practice address

10 Canterbury Dr
Port Chester, NY 10573-1807

Phone

(914) 939-3218

NPI assigned

Aug 11, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1144958679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CANTERBURY DR",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105731807",
            "telephone_number": "914-939-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CANTERBURY DR",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105731807",
            "telephone_number": "914-939-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "PETER",
        "middle_name": "EDWARD",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "071365",
            "identifier": "071365",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Glassman, RPH
• Uchenna C Gogor, PMHNP
• Sara Lynn Goldsmith, M.A.
• Rebecca Gonzalez
• Jessica Leigh Goodwin, LCSW
• Julie Michelle Griggs, PA-C
• Olidia Hall, MA, CCC-SLP
• Alan J Halperin, MD
• Heidi Lea Hansen
• Rosemarie Elizabeth Harris, LPN

• Clinical Social Worker in Port Chester, NY
• Providers in Port Chester, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.