Active NPI
NA'Thalyn N Green, MSW, LMSW
- Social Worker
- Ridgeland, SC
National Provider Identifier
1245054931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 17270
- Practice address
- 77 Hazzard Creek VLG
Ridgeland, SC 29936-8266 - Phone
- (843) 645-7700
- Fax
- (888) 908-7339
- NPI assigned
- Nov 11, 2024
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 17270 | SC | Primary |
Addresses
Primary practice location
77 Hazzard Creek VLG
Ridgeland, SC 29936-8266
Mailing address
PO Box 6514
Beaufort, SC 29903-6514
Phone (843) 694-3707
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 |
|---|---|---|---|
| 17270 | SC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wright Directions, LLC | Past | Accepting new patients | |
| Wright Directions, LLC | 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.
-
dba Wright Directions Family Services
- Community/Behavioral Health Agency
- Ridgeland, SC
- NPI 1306283288
-
dba Wright Directions Family Services
- Community/Behavioral Health Agency
- Ridgeland, SC
- NPI 1629361217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1245054931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6514",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299036514",
"telephone_number": "843-694-3707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 HAZZARD CREEK VLG",
"city": "RIDGELAND",
"state": "SC",
"postal_code": "299368266",
"telephone_number": "843-645-7700",
"fax_number": "888-908-7339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "NA'THALYN",
"middle_name": "N",
"credential": "MSW, LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-11",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "17270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgeland, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.