Active NPI
Natasha R. Green, LCSW
- Clinical Social Worker
- Lake Charles, LA
National Provider Identifier
1316699895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4168
- Practice address
- 1745 Kevin LN
Lake Charles, LA 70605-7111 - Phone
- (337) 802-3391
- NPI assigned
- Jan 25, 2022
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4168 | LA | Primary |
Addresses
Primary practice location
1745 Kevin LN
Lake Charles, LA 70605-7111
Mailing address
1745 Kevin LN
Lake Charles, LA 70605-7111
Phone (337) 802-3391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005775710 | Other | LA | DRIVER'S LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | nrgreen@suddenlink.net |
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 |
|---|---|---|---|
| 4168 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Phaetra K. Raney Foundation , Inc | Past | Accepting new patients | |
| Shine Medical Providers PC | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1316699895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1745 KEVIN LN",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706057111",
"telephone_number": "337-802-3391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1745 KEVIN LN",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706057111",
"telephone_number": "337-802-3391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "NATASHA",
"middle_name": "R.",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-25",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "4168",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "005775710",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "nrgreen@suddenlink.net",
"affiliation": "N",
"address_1": "1745 Kevin Ln",
"city": "Lake Charles",
"state": "LA",
"country_code": "US",
"postal_code": "706057111",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.