Active NPI
Carol Francine Green, LCSW
- Clinical Social Worker
- Kahuku, HI
National Provider Identifier
1659438281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3054
- Practice address
- 56 565 Kamehameha Hwy
Kahuku, HI 96731 - Phone
- (808) 293-9217
- Fax
- (808) 293-1171
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3054 | HI | Primary |
| Clinical Social Worker | 1041C0700X | 340 | OR |
Addresses
Primary practice location
56 565 Kamehameha Hwy
Kahuku, HI 96731
Mailing address
59 307 Pupukea Rd
Haleiwa, HI 96712
Phone (808) 638-9466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 548935 | Medicaid | HI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3054 | HI | MD | Clinical Social Worker |
| 340 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659438281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 307 PUPUKEA RD",
"city": "HALEIWA",
"state": "HI",
"postal_code": "96712",
"telephone_number": "808-638-9466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 565 KAMEHAMEHA HWY",
"city": "KAHUKU",
"state": "HI",
"postal_code": "96731",
"telephone_number": "808-293-9217",
"fax_number": "808-293-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "CAROL",
"middle_name": "FRANCINE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "3054",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "340",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "548935",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kahuku, HI
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.