Active NPI
Hunter Green, LSW
- Clinical Social Worker
- Laconia, NH
National Provider Identifier
1417630450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW20765
- Practice address
- 35 Academy St
Laconia, NH 03246-3606 - Phone
- (603) 556-4360
- NPI assigned
- Aug 8, 2023
- Last updated
- Jan 14, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SW136529 | PA | MD | Social Worker |
| ISW20765 | FL | MD | Clinical Social Worker |
| 1019 | NH | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeworks Counseling Associates PLLC | Social Worker | Current | 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.
-
- Social Worker
- Laconia, NH
- NPI 1144889130
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.