Kenyatta Green, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

377 Marshall Way Ste 1
Layton, UT 84041-7378

Phone

(801) 430-1280

Fax

(801) 747-6860

NPI assigned

Dec 20, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1598303596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 MARSHALL WAY STE 1",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840417378",
            "telephone_number": "801-430-1280",
            "fax_number": "801-747-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 MARSHALL WAY STE 1",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840417378",
            "telephone_number": "801-430-1280",
            "fax_number": "801-747-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KENYATTA",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-20",
        "last_updated": "2023-11-27",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgreen@livestronghouse.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Live Strong House LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "377 Marshall Way",
            "city": "Layton",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840417378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Great Basin Anesthesia
• Kimberly Ann Greaves, APRN
• Christy Green, LPN
• Crisandra Green
• Jennifer C Green, MSN, APRN, NP-C
• Robert Green
• Robert Joseph Green, CRNA
• Cooper Greene
• Emilee Greenhalgh
• Jordan Greenhalgh, DPT

• Clinical Social Worker in Layton, UT
• Providers in Layton, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.