Individual provider Active NPI

Elizabeth W Greene, L.C.S.W-R

  • Clinical Social Worker
  • Long Island City, NY
National Provider Identifier
1629235999
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075410-1 Issued in NY
Practice address
531 50TH Ave
Lic
Long Island City, NY 11101-5711
Phone
(347) 200-7168
NPI assigned
May 22, 2008
Last updated
Mar 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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 075410-1 NY Primary

Addresses

Primary practice location

531 50TH Ave
Lic
Long Island City, NY 11101-5711

Mailing address

531 50TH Ave
Lic
Long Island City, NY 11101-5711
Phone (347) 200-7168

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
075410-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1629235999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 50TH AVE",
            "address_2": "LIC",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015711",
            "telephone_number": "347-200-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 50TH AVE",
            "address_2": "LIC",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015711",
            "telephone_number": "347-200-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "ELIZABETH",
        "middle_name": "W",
        "credential": "L.C.S.W-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075410-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.