Sha-Rhonda M. Green, PHD, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114985 Issued in TX

Practice address

PO Box 1311
Northport, AL 35476-6311

Phone

(336) 939-6626

NPI assigned

Dec 21, 2009

Last updated

Feb 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1174852156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1311",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354766311",
            "telephone_number": "678-602-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1311",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354766311",
            "telephone_number": "336-939-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SHA-RHONDA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-21",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003415",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "114985",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "GA",
            "license": "655925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaci Lauren Godwin
• Krista Michelle Goss, OTR
• Frederick S Graham, MD
• Vanessa Graves, LICSW, PIP
• Amanda Brooke Gray, PT, DPT, ATC
• Robert D Griffith, MD
• Beverly Jalon Guenther, LPC
• Erin Guffey, LPC
• Michael Alexander Guin, LAT, ATC
• Maria Gurganus, M.S.

• Clinical Social Worker in Northport, AL
• Providers in Northport, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.