Siobhan Ailis Green, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

115020 Issued in MA

Practice address

70 Low St
Newburyport, MA 01950-4049

Phone

(978) 465-4447

NPI assigned

Sep 9, 2008

Last updated

May 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1407004930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LOW ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504049",
            "telephone_number": "978-465-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LOW ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504049",
            "telephone_number": "978-465-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SIOBHAN",
        "middle_name": "AILIS",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "115020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayleigh J Greaney, LMHC11807
• Greater Newburyport Emergency Physicians, Inc.
• Greater Newburyport Opportunities
• Greater Newburyport Opportunities (Opportunity Works)
• David W. Green, M.D.
• Abelee Ruth Esparza Groff, LICSW
• Adam Groff
• Joseph W. Gross, M.D.
• Timothy S Guldemond, DDS
• Donna Gustafson, MD

• Clinical Social Worker in Newburyport, MA
• Providers in Newburyport, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.