Lyn Kanofsky-Greene, CLINICAL SOCIAL WORK

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003733 Issued in GA

Practice address

11385 Donnington Dr
Duluth, GA 30097-8409

Phone

(678) 361-0606

NPI assigned

Jun 22, 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

Other names 1

• Lyn K. Greene Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Fulton County Mental Health Center

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1437299625
  NPD (past)
• Fulton County Mhddad

  dba West Mental Health Center

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1285700682
  NPD (past)

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407052871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11385 DONNINGTON DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978409",
            "telephone_number": "678-361-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11385 DONNINGTON DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978409",
            "telephone_number": "678-361-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANOFSKY-GREENE",
        "first_name": "LYN",
        "credential": "CLINICAL SOCIAL WORK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYN",
            "last_name": "GREENE",
            "middle_name": "K.",
            "credential": "CLINICAL SOCIAL WORK",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rachel J Kang, BCBA
• Sungtaek Kang, L AC
• Thomas Young Kang, PA-C
• Yoonsun Lim Kang, DDS
• Young Won Kang, MD
• Mozhgan Karimi, PTA
• Mary-Sydney Karsh, MD
• Dorigen K Kasparek, MD
• Kathryn Vaughn LLC
• Kelley Kawamoto, BS, DC

• Clinical Social Worker in Duluth, GA
• Providers in Duluth, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.