Greenspring Mental Health Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14167 Issued in AZ

Legal business name

GREENSPRING MENTAL HEALTH SERVICES

Practice address

5959 W Greenway Rd
Apt 241
Glendale, AZ 85306-5224

Phone

(602) 395-0718

NPI assigned

Oct 5, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jack Roddy

Title

Sole MBR

Phone

(602) 395-0718

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1598135352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 W GREENWAY RD",
            "address_2": "APT 241",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853065224",
            "telephone_number": "602-395-0718",
            "fax_number": "602-277-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 W GREENWAY RD",
            "address_2": "APT 241",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853065224",
            "telephone_number": "602-395-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENSPRING MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "RODDY",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "602-395-0718"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "14167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teri Green, LCSW
• Tirzah Green
• Leighanna Greene
• Matthew Greene, (M.S.)
• Greenlight ABA
• Lyle Greenwood, D.O.
• Wayne Greenwood, DMD
• Anthony Greer, PHARMD
• Chreyelisa Gregorio
• Gregory a Bode LLC

• Clinical Social Worker in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.