Individual provider Active NPI

Jill Christine Greene, R-LCSW

  • Clinical Social Worker
  • Lake George, NY
National Provider Identifier
1215077136
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0609361 Issued in NY
Practice address
PO Box 375
Lake George, NY 12845
Phone
(518) 796-5478
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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 0609361 NY Primary

Addresses

Primary practice location

PO Box 375
Lake George, NY 12845

Mailing address

PO Box 375
Lake George, NY 12845-0375
Phone (518) 796-5478

Other names 1

  • Jill Christine Slaterpryce Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120618000009 NY Practitioner - Clinical Social Worker 7719141050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Charities of Diocese of AlbanyGroup PAC ID 5294757928, 3 clinicians

Practice addresses (Care Compare)

142 Regent St
Saratoga Springs, NY 12866-4308
Phone (518) 587-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0609361NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of Diocese of Albany CurrentSince Jul 1, 2013 Accepting new patients
Catholic Charities of Saratoga, Warren and Washington Counties Past Accepting new patients

Locations

35 Broad St
Glens Falls, NY 12801
Phone (518) 793-6212

142 Regent St
Saratoga Springs, NY 12866
Phone (518) 587-5000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1215077136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 375",
            "city": "LAKE GEORGE",
            "state": "NY",
            "postal_code": "128450375",
            "telephone_number": "518-796-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 375",
            "city": "LAKE GEORGE",
            "state": "NY",
            "postal_code": "12845",
            "telephone_number": "518-796-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "JILL",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "R-LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0609361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "SLATERPRYCE",
            "middle_name": "CHRISTINE",
            "credential": "R-LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake George, NY

Sources for this page

Verify at the official NPI Registry.