Individual provider Active NPI

Julia Elaine Uhring Green, MSW, LCSW, CADC

  • Clinical Social Worker
  • Granite City, IL
National Provider Identifier
1629244322
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-010264 Issued in IL
Practice address
2429 Washinton Ave
Granite City, IL 62040
Phone
(618) 877-8524
NPI assigned
May 2, 2008
Last updated
May 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 21223 IL
Clinical Social Worker 1041C0700X 149-010264 IL Primary

Addresses

Primary practice location

2429 Washinton Ave
Granite City, IL 62040

Mailing address

2429 Washington Ave
Granite City, IL 62040-5407
Phone (618) 877-8524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20200213000019 IL Practitioner - Clinical Social Worker 5294161162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Promed Preferred Il 2 PLLCGroup PAC ID 3870028251, 14 clinicians

Practice addresses (Care Compare)

141 Market PL
Suite 100
Fairview Heights, IL 62208-2089
Phone (618) 398-4226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21223ILMDAddiction (Substance Use Disorder) Counselor
149-010264ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Promed Preferred Il 2 PLLC Clinical CurrentSince Nov 24, 2024 Accepting new patients

Locations

141 Market Pl
Ste 100
Fairview Hts, IL 62208
Phone (618) 398-4226

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1629244322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 WASHINGTON AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620405407",
            "telephone_number": "618-877-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 WASHINTON AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "62040",
            "telephone_number": "618-877-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UHRING GREEN",
        "first_name": "JULIA",
        "middle_name": "ELAINE",
        "credential": "MSW, LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "21223",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-010264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite City, IL

Sources for this page

Verify at the official NPI Registry.