Individual provider Active NPI

Nadine Nicola Green, LCSW

  • Clinical Social Worker
  • Farmington, CT
National Provider Identifier
1164821575
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
013331 Issued in CT
Practice address
1789 New Britain Ave Ste 18
Farmington, CT 06032-3317
Phone
(860) 808-6586
NPI assigned
Aug 21, 2014
Last updated
Aug 9, 2024By the provider in NPPES
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 013331 CT Primary

Addresses

Primary practice location

1789 New Britain Ave Ste 18
Farmington, CT 06032-3317

Mailing address

112 Edgewood St
Hartford, CT 06112-2204
Phone (860) 900-9909

Other practice location 1

3 Barnard Ln Ste 308
Bloomfield, CT 06002-2495
Phone (860) 900-9909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20250910003442 CT Practitioner - Clinical Social Worker 8921501529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

112 Edgewood St
FL 2
Hartford, CT 06112-2204

112 Edgewood St FL
Suite 2
Hartford, CT 06112-2204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013331CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Access Greenadine LLC CurrentSince Jul 4, 2025 Accepting new patients

Organizations & group practices 1

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": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1164821575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 EDGEWOOD ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061122204",
            "telephone_number": "860-900-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 NEW BRITAIN AVE STE 18",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060323317",
            "telephone_number": "860-808-6586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Barnard Ln Ste 308",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "CT",
            "postal_code": "060022495",
            "country_code": "US",
            "telephone_number": "860-900-9909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "NADINE",
        "middle_name": "NICOLA",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "013331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.