Individual provider Active NPI

Hunter Green, LSW

  • Clinical Social Worker
  • Laconia, NH
National Provider Identifier
1417630450
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW20765 Issued in FL
Practice address
35 Academy St
Laconia, NH 03246-3606
Phone
(603) 556-4360
NPI assigned
Aug 8, 2023
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW136529 PA
Clinical Social Worker 1041C0700X ISW20765 FL Primary
Clinical Social Worker 1041C0700X 1019 NH

Addresses

Primary practice location

35 Academy St
Laconia, NH 03246-3606

Mailing address

35 Academy St
Laconia, NH 03246-3606
Phone (603) 556-4360

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address MAILBOX@CRCSI.CREDIBLE2.DIRECT-CI.COM
Direct Messaging Address MAILBOX@CRCSI.CREDIBLE2.DIRECT-CI.COM

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW136529PAMDSocial Worker
ISW20765FLMDClinical Social Worker
1019NHMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeworks Counseling Associates PLLC Social Worker CurrentSince Jan 19, 2025 Accepting new patients

Locations

35 Academy St
Laconia, NH 03246
Phone (603) 387-1230

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1417630450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ACADEMY ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463606",
            "telephone_number": "603-556-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 ACADEMY ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463606",
            "telephone_number": "603-556-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "HUNTER",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-08",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW136529",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW20765",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MAILBOX@CRCSI.CREDIBLE2.DIRECT-CI.COM",
            "affiliation": "N",
            "address_1": "100 New Salem Rd Ste 116",
            "city": "Uniontown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "154018936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MAILBOX@CRCSI.CREDIBLE2.DIRECT-CI.COM",
            "affiliation": "N",
            "address_1": "100 New Salem Rd Ste 116",
            "city": "Uniontown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "154018936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.