Jessica Green, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

253946 Issued in KY

Practice address

3148 Dale Hollow Dr
Lexington, KY 40515-5403

Phone

(859) 537-2794

NPI assigned

Dec 8, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1275244402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3148 DALE HOLLOW DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405155403",
            "telephone_number": "859-537-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3148 DALE HOLLOW DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405155403",
            "telephone_number": "859-537-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "green.counseling@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3148 Dale Hollow Dr",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405155403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brandon Scott Green, PHARM.D., R.PH.
• Cristina Kaye Green, ED.S.
• Diane Rae Green
• Janet Green, LCSW
• Jennifer Cossuto Green, MD
• John Morris Green, D.O.
• Kimmerle T Green, BCBA
• Marrisha Jenae Green, LPCA
• Nathan Sosaia Green, DMD
• Sandra D. Green, M.D.

• Clinical Social Worker in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.