Active NPI
Karen Torry Greene, DBH, LCSW
- Clinical Social Worker
- Carson City, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7579C
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255591400 | Other | NPPES | |
| 11575602 | Other | CAQH | |
| 838526 | Medicaid | AZ | |
| 250006318 | Medicaid | NV |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW10653 | AZ | MD | Clinical Social Worker |
| LCSW103290 | CA | MD | Clinical Social Worker |
| 7579C | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vip Mental Health and Life Coaching PLLC | Clinical | Current | 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.
-
- Adult Mental Health Clinic/Center
- Carson City, NV
- NPI 1255591400
Clinical
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.