James Zachary Green, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9397-M Issued in AR

Practice address

712 W 3Rd St
Little Rock, AR 72201-2220

Phone

(501) 379-4246

Fax

(501) 379-4252

NPI assigned

Sep 15, 2021

Last updated

Sep 15, 2021By the provider in NPPES

Sex

Male

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

Practice roles

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.

• Gain, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Little Rock, AR
  • NPI 1871392712
  NPD (past)
• Gain, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Little Rock, AR
  • NPI 1992885180

  Clinical

  NPD (past)

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1497425185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 W 3RD ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722012220",
            "telephone_number": "501-379-4246",
            "fax_number": "501-379-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 W 3RD ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722012220",
            "telephone_number": "501-379-4246",
            "fax_number": "501-379-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JAMES",
        "middle_name": "ZACHARY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "9397-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebonye N Green, APN
• Eric Green
• Felesha Renee Green
• Helensia Green, QBHP
• Jackie Marie Green, OTD
• Janice N Green
• Jerriell Green
• Jerril Green, MD
• Jessica Green
• Joanna Patrice Green

• Clinical Social Worker in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.