Active NPI
Shawna M Green
- Social Worker
- Cincinnati, OH
National Provider Identifier
1194200998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2004702
- Practice address
- 526 Clinton Springs Ave Unit C
Cincinnati, OH 45217-1955 - Phone
- (513) 646-8710
- NPI assigned
- Sep 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | S.2004702 | OH | Primary |
Addresses
Primary practice location
526 Clinton Springs Ave Unit C
Cincinnati, OH 45217-1955
Mailing address
526 Clinton Springs Ave Unit C
Cincinnati, OH 45217-1955
Phone (513) 646-8710
Other practice location 1
5050 Madison Rd
Cincinnati, OH 45227-1491
Phone (513) 272-2800 ext. 1234
Other practice location 2
5400 Edalbert Dr
Cincinnati, OH 45239-7604
Phone (513) 741-3100
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 |
|---|---|---|---|
| S.2004702 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1194200998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 CLINTON SPRINGS AVE UNIT C",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452171955",
"telephone_number": "513-646-8710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 CLINTON SPRINGS AVE UNIT C",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452171955",
"telephone_number": "513-646-8710"
}
],
"practiceLocations": [
{
"address_1": "5050 Madison Rd",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452271491",
"country_code": "US",
"telephone_number": "513-272-2800 x1234",
"fax_number": "513-272-2807",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5400 Edalbert Dr",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452397604",
"country_code": "US",
"telephone_number": "513-741-3100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "SHAWNA",
"middle_name": "M",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-27",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2004702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.