Angela Sue Green, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

01864 Issued in IA

Practice address

438 Southgate Ave
Iowa City, IA 52240-4425

Phone

(319) 351-4357

NPI assigned

Jan 5, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Richmond CenterGroup PAC ID 2365346822, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Richmond Center

  • Mental Health Counselor
  • Ames, IA
  • NPI 1194837286
  Medicare reassignment Care Compare group NPD
• Community and Family Resources

  • Substance Abuse Rehabilitation Facility
  • Fort Dodge, IA
  • NPI 1366507790
  Medicare reassignment NPD
• Prelude Behavioral Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Iowa City, IA
  • NPI 1992006100
  NPD (past)

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1437747573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SYCAMORE ST",
            "city": "TIPTON",
            "state": "IA",
            "postal_code": "527721653",
            "telephone_number": "608-885-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 SOUTHGATE AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404425",
            "telephone_number": "319-351-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ANGELA",
        "middle_name": "SUE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "01864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO NUMBERS",
            "identifier": "000-00-0000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ashleyt@cfrhelps.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "211 Avenue M W",
            "city": "Fort Dodge",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505015789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christina Graves, RN
• Jennifer M Gray, DO
• Nicole Gray, RDCS
• Olivia Jewel Gray, MD
• Sarah Grazia, PHARMD
• Benjamin Joseph Green, D.O.
• John Robert Green IV, MD
• Laura Green, OTR/L
• Lesley Anna Green, MD
• Lynda Ann Green, ARNP

• Social Worker in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.