Active NPI
Sherry Green, MSW, LBS
- Social Worker
- Philadelphia, PA
National Provider Identifier
1285017251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- BH000155
- Practice address
- 708 E Sharpnack St
Philadelphia, PA 19119-1535 - Phone
- (215) 528-2927
- NPI assigned
- Jul 8, 2015
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | BH000155 | PA | |
| Behavior Analyst | 103K00000X | BH000155 | PA | |
| Social Worker | 104100000X | BH000155 | PA | Primary |
| Clinical Social Worker | 1041C0700X | BH000155 | PA | |
| School Social Worker | 1041S0200X | BH000155 | PA |
Addresses
Primary practice location
708 E Sharpnack St
Philadelphia, PA 19119-1535
Mailing address
PO Box 828
Glenside, PA 19038-0828
Phone (215) 528-2927
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 |
|---|---|---|---|
| BH000155 | PA | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mother Care Inc | Past | Accepting new patients | |
| Green Supportive Care | 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.
-
- Community/Behavioral Health Agency
- Philadelphia, PA
- NPI 1740737055
-
- Developmentally Disabled Services Day Training Agency
- Phila, PA
- NPI 1164976700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436313600000",
"number": "1285017251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 828",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "190380828",
"telephone_number": "215-528-2927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 E SHARPNACK ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191191535",
"telephone_number": "215-528-2927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "SHERRY",
"credential": "MSW, LBS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-08",
"last_updated": "2015-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "BH000155",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH000155",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "BH000155",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "BH000155",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "PA",
"license": "BH000155",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.