Jennifer L Greenberg, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

079966 Issued in NY

Practice address

305 Main St
Goshen, NY 10924-1638

Phone

(845) 467-7997

NPI assigned

Oct 29, 2008

Last updated

Oct 19, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Catholic Charities Community Services of Orange County

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Newburgh, NY
  • NPI 1316196603
  NPD (past)
• Catholic Charities of Orange, Sullivan & Ulster

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Goshen, NY
  • NPI 1093875007
  NPD (past)

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1649423070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 BROADWAY",
            "address_2": "LOWER LEVEL",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505408",
            "telephone_number": "845-562-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MAIN ST",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241638",
            "telephone_number": "845-467-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "079966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Grassi, OTR/L
• Leslie J Green, MD
• Margaret M Green, REGISTERED NURSE
• Rosemary Ellen Green, WHCNP
• Stephen G Green, MS DC
• Susan Greenberg, OD
• Sadie Greene-Kaufman, MS/CCC-SLP
• Diane Greenwald, MS, LCSW
• Stan Richard Greenwald, PHD
• Patricia R Griffin, PH.D.

• Mental Health Counselor in Goshen, NY
• Providers in Goshen, NY by specialty
• Mental Health Counselor in New York

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