Individual provider Active NPI

Jane Marie Green, LMSW

  • Social Worker
  • Corfu, NY
National Provider Identifier
1154883478
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
098131-01 Issued in NY
Practice address
860 Main Rd
Corfu, NY 14036-9753
Phone
(585) 599-7002
Fax
(585) 599-3166
NPI assigned
Apr 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 098131-01 NY Primary
Social Worker 104100000X 105822-1 NY

Addresses

Primary practice location

860 Main Rd
Corfu, NY 14036-9753

Mailing address

1459 Genesee St
Corfu, NY 14036-9659
Phone (585) 599-7002

Organizations & group practices 12

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Buffalo School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Orchard Community Health Center, Inc. 41 clinicians

Practice addresses (Care Compare)

14014 State Route 31
Albion, NY 14411-9301
Phone (585) 599-6446

300 W Ave
Brockport, NY 14420-1118
Phone (716) 637-3905

301 W Ave
Albion, NY 14411-1522
Phone (585) 589-5613

317 W Ave
Albion, NY 14411-1522
Phone (585) 637-3905

3384 Church St
Alexander, NY 14005-9629
Phone (585) 637-3905

362 S Main St
Albion, NY 14411-1603
Phone (585) 589-5613

860 Main Rd
Corfu, NY 14036-9753
Phone (585) 637-3905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20191112001012 NY Practitioner - Clinical Social Worker 9931409992 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
098131NYMDSocial Worker
098131-01NYMDSocial Worker
105822-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Orchard Community Health Center Inc. CurrentSince Nov 11, 2019 Accepting new patients
Oak Orchard Community Health Center Inc CurrentSince Nov 11, 2019 Accepting new patients

Locations

301 West Ave
Albion, NY 14411
Phone (585) 589-5613

300 West Ave
Brockport, NY 14420
Phone (585) 637-3905

860 Main Rd
Corfu, NY 14036
Phone (585) 599-6446

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1154883478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 GENESEE ST",
            "city": "CORFU",
            "state": "NY",
            "postal_code": "140369659",
            "telephone_number": "585-599-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 MAIN RD",
            "city": "CORFU",
            "state": "NY",
            "postal_code": "140369753",
            "telephone_number": "585-599-7002",
            "fax_number": "585-599-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JANE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "098131-01",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "105822-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corfu, NY

Sources for this page

Verify at the official NPI Registry.