Corey Adam Greenbaum

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

400 E State St Ste D
Athens, OH 45701-1870

Phone

(740) 326-6110

NPI assigned

May 29, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/themainplace/r4/

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.

• The Main Place, Inc.

  • Case Management Agency
  • Newark, OH
  • NPI 1184678500

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1164913901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MCKINLEY AVE",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430508412",
            "telephone_number": "740-485-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E STATE ST STE D",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011870",
            "telephone_number": "740-326-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBAUM",
        "first_name": "COREY",
        "middle_name": "ADAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina L. Green, PT
• Kendra M Green
• Lucinda S Green, CDCA
• Shawna L Green, LPC
• Tyler Jordan Green
• Ashley Greenlee
• Cynthia Ann Greenlee, RN, CNP
• Martha Ann Greer, LISW-S
• Melanie Gregory
• Derrick Allen Grey, PMHNP

• Social Worker in Athens, OH
• Providers in Athens, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.