Individual provider Active NPI

Karen Torry Greene, DBH, LCSW

  • Clinical Social Worker
  • Carson City, NV
National Provider Identifier
1396772026
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7579C Issued in NV
Practice address
777 E William St
Carson City, NV 89701-4056
Phone
(602) 909-1710
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW103290 CA
Clinical Social Worker 1041C0700X LCSW10653 AZ
Clinical Social Worker 1041C0700X 7579C NV Primary

Addresses

Primary practice location

777 E William St
Carson City, NV 89701-4056

Mailing address

1894 E William St # 4-496
Carson City, NV 89701-3224
Phone (602) 909-1710

Other practice location 1

4000 Long Drive
Minden, NV 89423
Phone (602) 909-1710

Other practice location 2

1894 E William St # 4-496
Carson City, NV 89701-3224
Phone (602) 909-1710

Other identifiers 4

IdentifierTypeStateIssuer
1255591400OtherNPPES
11575602OtherCAQH
838526MedicaidAZ
250006318MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW10653AZMDClinical Social Worker
LCSW103290CAMDClinical Social Worker
7579CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vip Mental Health and Life Coaching PLLC Clinical CurrentSince Jul 28, 2019 Accepting new patients

Locations

777 E William St
Ste 104
Carson City, NV 89701

777 E William St
Carson City, NV 89701
Phone (602) 909-1710

1894 E William St
#4496
Carson City, NV 89701
Phone (602) 909-1710

Organizations & group practices 1

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1396772026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1894 E WILLIAM ST # 4-496",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897013224",
            "telephone_number": "602-909-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E WILLIAM ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897014056",
            "telephone_number": "602-909-1710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Long Drive",
            "address_purpose": "LOCATION",
            "city": "Minden",
            "state": "NV",
            "postal_code": "89423",
            "country_code": "US",
            "telephone_number": "602-909-1710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1894 E William St # 4-496",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897013224",
            "country_code": "US",
            "telephone_number": "602-909-1710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "KAREN TORRY",
        "credential": "DBH, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW103290",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW10653",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7579C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1255591400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11575602",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "838526",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250006318",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.