Mary Elizabeth Green, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04747300 Issued in NJ

Practice address

400 N Main St Ste 3
Manahawkin, NJ 08050-3730

Phone

(609) 978-6800

Fax

(609) 597-1779

NPI assigned

Sep 27, 2010

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1659680569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1200",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080508200",
            "telephone_number": "609-978-6800",
            "fax_number": "609-597-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST STE 3",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503730",
            "telephone_number": "609-978-6800",
            "fax_number": "609-597-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04747300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Fallon Gowdy, PT, DPT
• Sergey Grachev, M.D.
• Melissa Ann Grando, RN
• Julia Kate Graney, M.S.ED., CF-SLP
• Samantha Gray
• Mary Jane Green, L.C.S.W.
• Heather Greenwood
• Christine Greve
• Reid Edward Gronostajski, PHYSICIAN ASSISTANT
• Floro G Guerrero, M.D

• Clinical Social Worker in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.