James W. Green, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC5061 Issued in ME

Practice address

47 Main St
Suite 230
Bangor, ME 04401-6330

Phone

(207) 941-1663

Fax

(207) 941-0077

NPI assigned

Aug 5, 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 1

Medicare fee-for-service enrollment

Enrolled in ME

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

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jim Green Counseling, P.a.

  • Mental Health Counselor
  • Bangor, ME
  • NPI 1386035566
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356048000000",
    "number": "1386653012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 MAIN ST",
            "address_2": "SUITE 230",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016330",
            "telephone_number": "207-941-1663",
            "fax_number": "207-941-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MAIN ST",
            "address_2": "SUITE 230",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016330",
            "telephone_number": "207-941-1663",
            "fax_number": "207-941-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JAMES",
        "middle_name": "W.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2012-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC5061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220130099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Dawn Gray, LCSW
• Marisa Christine Gray, MD
• Shane Christopher Gray, CADC
• Greater Love Counseling LLC
• Ruta Grebliunaite, DO
• Michael S Green, M.D.
• Peter Alex Green, MD
• Reesa Mindy Greenberg, PHD
• Todd Greenberg, MD
• James Michael Greene, MD

• Clinical Social Worker in Bangor, ME
• Providers in Bangor, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.