Individual provider Active NPI

Joann L Green, MSW

  • Clinical Social Worker
  • Beachwood, OH
National Provider Identifier
1629176235
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0002386 Issued in OH
Practice address
23875 Commerce Park Rd
Suite 160
Beachwood, OH 44122-5805
Phone
(216) 556-1810
Fax
(216) 378-8900
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I0002386 OH Primary

Addresses

Primary practice location

23875 Commerce Park Rd
Suite 160
Beachwood, OH 44122-5805

Mailing address

23875 Commerce Park
Suite 160
Beachwood, OH 44122-5805
Phone (216) 556-1810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0002386OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629176235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23875 COMMERCE PARK",
            "address_2": "SUITE 160",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225805",
            "telephone_number": "216-556-1810",
            "fax_number": "216-378-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23875 COMMERCE PARK RD",
            "address_2": "SUITE 160",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225805",
            "telephone_number": "216-556-1810",
            "fax_number": "216-378-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JOANN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0002386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.