Stefan Greene, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS10752 Issued in CA

Practice address

4 Truman Dr
Novato, CA 94947-4442

Phone

(415) 892-8311

Fax

(415) 897-1488

NPI assigned

Apr 4, 2006

Sex

Male

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

• Mr. Stefan Edward Greene Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1497717599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TRUMAN DR",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474442",
            "telephone_number": "415-892-8311",
            "fax_number": "415-897-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 TRUMAN DR",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474442",
            "telephone_number": "415-892-8311",
            "fax_number": "415-897-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "STEFAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS10752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFAN",
            "last_name": "GREENE",
            "middle_name": "EDWARD",
            "prefix": "MR.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sean Green
• Tamara Michelle Green, M.A.
• Cindy Greenberg, MD
• Julie Kapiolani Greenberg
• Marcia Greene, MFT INTERN
• Arielle L Greenlee
• Greg Miller, DDS, Inc (Marin Braces)
• Kaitlyn Grenz, M.S.ED, ED.S
• John Scott Grigsby, PHARMD
• Cerbelio Gilberto Grijalva Reyes

• Clinical Social Worker in Novato, CA
• Providers in Novato, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.