Destiny Joy Green, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

5870 Highway 6 N Ste 311
Houston, TX 77084-1857

Phone

(832) 280-4054

Fax

(832) 280-9919

NPI assigned

Oct 3, 2018

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

Enrolled in TX

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Resilience Center of Houston LLCGroup PAC ID 6305131517, 51 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• The Resilience Center of Houston, LLC

  dba The Resilience Center of Houston

  • Marriage & Family Therapist
  • Cypress, TX
  • NPI 1821475039

  Clinical

  Medicare reassignment Care Compare group NPD
• Riverunbroken Trauma Counseling, PLLC

  • Clinical Social Worker
  • Houston, TX
  • NPI 1053953174
  NPD Authorized official

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1689149817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 HIGHWAY 6 N STE 311",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770841857",
            "telephone_number": "832-280-4054",
            "fax_number": "832-280-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5870 HIGHWAY 6 N STE 311",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770841857",
            "telephone_number": "832-280-4054",
            "fax_number": "832-280-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DESTINY",
        "middle_name": "JOY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Green, MD
• David Alan Green, LPC
• David M. Green, M.D.
• Deborah Renee Green
• Demetris Allen Green Sr., MD
• Edward A Green, LCSW
• Emerald T Green, LMSW
• Erika Renee Green, APRN FNP
• Grace Lena Diletta Green, MD
• Gregory Green, D.C.

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.