Myra Dunford Green, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904005954 Issued in VA

Practice address

708 Mobjack PL
Newport News, VA 23606-1957

Phone

(757) 873-1958

Fax

(757) 873-2143

NPI assigned

Jun 4, 2007

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

Enrolled in VA

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1386846152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 MOBJACK PL",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061957",
            "telephone_number": "757-873-1958",
            "fax_number": "757-873-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 MOBJACK PL",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061957",
            "telephone_number": "757-873-1958",
            "fax_number": "757-873-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MYRA",
        "middle_name": "DUNFORD",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry Lee Green, DMD
• Brittany Latrice Green, RESIDENT IN COUNSELI
• Lauren Sharnise Green
• Margaret Lappan Green, RDH, MS
• Marian Elizabeth Green, APRN
• Greenbrook TMS Newport News LLC
• Garland Vestal Greene III, MD
• Tydus De'Aundra Greene
• Kimberly Greenwell, DMD
• Lisa Marie Greer, FNP-BC

• Clinical Social Worker in Newport News, VA
• Providers in Newport News, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.