Individual provider Active NPI

Linda Sue Greene, LCSW

  • Clinical Social Worker
  • Sneedville, TN
National Provider Identifier
1366508996
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3860 Issued in TN
Practice address
391 Court Street
Sneedville, TN 37869-0723
Phone
(423) 733-2121
Fax
(423) 733-4563
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3860 TN Primary

Addresses

Primary practice location

391 Court Street
Sneedville, TN 37869-0723

Mailing address

365 Stout Drive Box 70403
Johnson City, TN 37614-1703
Phone (423) 733-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041123000454 TN Practitioner - Clinical Social Worker 7012972615 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3860TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee State University CurrentSince Oct 6, 2022 Accepting new patients
East Tennessee State University CurrentSince Oct 6, 2022 Accepting new patients
Senior Care Consultants Inc Clinical Past Accepting new patients

Locations

2700 Main St
Sneedville, TN 37869
Phone (423) 733-2819

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1366508996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 STOUT DRIVE BOX 70403",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376141703",
            "telephone_number": "423-733-2121",
            "fax_number": "423-733-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 COURT STREET",
            "city": "SNEEDVILLE",
            "state": "TN",
            "postal_code": "378690723",
            "telephone_number": "423-733-2121",
            "fax_number": "423-733-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "LINDA",
        "middle_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "3860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sneedville, TN

Sources for this page

Verify at the official NPI Registry.