Michelle H Greene, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

62218503502 Issued in UT

Practice address

11075 S State St Ste 16
Sandy, UT 84070-5196

Phone

(801) 350-1671

Fax

(801) 446-6511

NPI assigned

Aug 20, 2006

Sex

Female

Sole proprietor

No

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.

• Synergism Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sandy, UT
  • NPI 1124313481

  UT

  Medicare reassignment NPD Authorized official

Specialty

Clinical Social Worker

Education

University of Utah School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2018.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1508971276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1292",
            "city": "MIDWAY",
            "state": "UT",
            "postal_code": "840491292",
            "telephone_number": "801-350-1671",
            "fax_number": "801-446-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11075 S STATE ST STE 16",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840705196",
            "telephone_number": "801-350-1671",
            "fax_number": "801-446-6511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 E 1200 S Ste L4",
            "address_purpose": "LOCATION",
            "city": "Heber City",
            "state": "UT",
            "postal_code": "840323943",
            "country_code": "US",
            "telephone_number": "435-962-9335",
            "fax_number": "801-446-6511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "MICHELLE",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "62218503502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Louise Gray, ACMHC
• Great Smiles Dental Clinic LLC
• Daniel Green
• Heather Green, L.C.S.W.
• Jolene M Green, LCSW
• Colin Reed Greer, PT, DPT
• Gregory C. Tanner, M.D. P.C.
• Gregory K. Hansen, Inc.
• Crystal Marie Gregory, L.C.S.W.
• Ryan A Griffin, DPT

• All providers in Sandy, UT
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.