Active NPI
Jennifer M Green, ACSW, MSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1194080697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 32371
- Practice address
- 2250 Alcazar St
Suite 2200
Los Angeles, CA 90089-0107 - Phone
- (323) 409-5751
- NPI assigned
- Jul 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 32371 | CA | Primary |
Addresses
Primary practice location
2250 Alcazar St
Suite 2200
Los Angeles, CA 90089-0107
Mailing address
2250 Alcazar St
Suite 2200
Los Angeles, CA 90089-0107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32371 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341878400000",
"number": "1194080697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 ALCAZAR ST",
"address_2": "SUITE 2200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900890107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 ALCAZAR ST",
"address_2": "SUITE 2200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900890107",
"telephone_number": "323-409-5751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "JENNIFER",
"middle_name": "M",
"credential": "ACSW, MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-10",
"last_updated": "2012-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "32371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.