Active NPI
Christian Greene, LICSW, MSW
- Clinical Social Worker
- Washington, DC
National Provider Identifier
1215084751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50078526
- Practice address
- 3818 25TH PL NE
Washington, DC 20018-3121 - Phone
- (202) 681-3820
- NPI assigned
- Jan 5, 2007
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904007205 | VA | |
| Clinical Social Worker | 1041C0700X | DP00945186 | WV | |
| Clinical Social Worker | 1041C0700X | 15480 | MD | |
| Clinical Social Worker | 1041C0700X | L004283 | OR | |
| Clinical Social Worker | 1041C0700X | LC50078526 | DC | Primary |
Addresses
Primary practice location
3818 25TH PL NE
Washington, DC 20018-3121
Mailing address
3818 25TH PL NE
Washington, DC 20018-3121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L004283 | OR | MD | Clinical Social Worker |
| 0904007205 | VA | MD | Clinical Social Worker |
| 15480 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eclectic DC | Clinical | Current | Accepting new patients |
| Youth Advocate Program International | Clinical | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Washington, DC
- NPI 1144991902
-
- Clinical Social Worker
- Washington, DC
- NPI 1134452790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1215084751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3818 25TH PL NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200183121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3818 25TH PL NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200183121",
"telephone_number": "202-681-3820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "CHRISTIAN",
"credential": "LICSW, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904007205",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "DP00945186",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "15480",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L004283",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50078526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.