Linda Alexandra Greene, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007465 Issued in CT

Practice address

125 Boston Post Rd Ste 1
Waterford, CT 06385-2841

Phone

(860) 917-0790

NPI assigned

Oct 9, 2019

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

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": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1295377315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MAYFAIR DR",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063853831",
            "telephone_number": "860-416-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BOSTON POST RD STE 1",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852841",
            "telephone_number": "860-917-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "LINDA",
        "middle_name": "ALEXANDRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mithlesh Govil, M.D.
• Rosemary Grace
• Thomas Grayeck, R.PH.
• John Michael Greeley
• Carol Ann Greene, COTA
• Greentree Manor Nursing and Rehabilitation Center Inc
• Jillian Grey, PT, DPT
• Kathleen McKenzie Griffith, LCSW
• Teresa Grochowski, OD
• Kimberly Guzzio, PA-C

• Clinical Social Worker in Waterford, CT
• Providers in Waterford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.