Robert E Greene, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW968 Issued in FL

Practice address

5440 1St Ave N
St Petersburg, FL 33710-8004

Phone

(727) 343-2277

Fax

(727) 302-0207

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robert E Greene LCSW PA

  • Clinical Social Worker
  • St Petersburg, FL
  • NPI 1093972234
  NPD (past) Authorized official

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326060864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108004",
            "telephone_number": "727-343-2277",
            "fax_number": "727-302-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108004",
            "telephone_number": "727-343-2277",
            "fax_number": "727-302-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "110280",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF FLORIDA",
            "identifier": "Z3563",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greenbrook NH, LLC (Apollo Health and Rehabilitation Center)
• Brittany Greene, PA-C
• Christina Greene, APRN
• David Greene
• Jesse Greene
• Susan Dana Greeno, ARNP
• Allison Marie Greer, PT
• Jessica Merlin Gregoire, APRN
• Susan F Gregoire, ARNP
• Gregory W. Nestor, MD, LLC

• Clinical Social Worker in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.