Allison Michelle Greene Jackson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

078226 Issued in NY

Practice address

406 7TH Ave
Brooklyn, NY 11215-7306

Phone

(347) 742-5838

NPI assigned

Dec 6, 2011

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": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1326316399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 ADAMS ST",
            "address_2": "APARTMENT 5J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011851",
            "telephone_number": "347-742-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112157306",
            "telephone_number": "347-742-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE JACKSON",
        "first_name": "ALLISON",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Sara Greenblatt, PHD
• Melissa Greenblatt, LCSW
• Greencap Cleaning
• Greene Avenue Medical PC
• Greene Avenue Medical, PC
• Greene RX Inc
• Greene RX Inc
• Greene Van Pharmacy Corp
• Alicia Greene, LMSW
• Amber Lynette Greene

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.