Tanya Laurette Green, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005094A Issued in IN

Practice address

310 E Dupont Rd
Ft Wayne, IN 46825-2048

Phone

(260) 490-8110

Fax

(260) 490-7707

NPI assigned

May 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Herbert P. Trier, M.D.

  • Psychiatry Physician
  • Fort Wayne, IN
  • NPI 1477722197

  Clinical

  NPD (past)
• Behavioral Health Inc.

  • Psychologist
  • Tulsa, OK
  • NPI 1891911905
  NPD (past)
• River Parks Developmental Center

  • Psychologist
  • Tulsa, OK
  • NPI 1124187992
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1689632804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E DUPONT RD",
            "city": "FT WAYNE",
            "state": "IN",
            "postal_code": "468252048",
            "telephone_number": "260-490-8110",
            "fax_number": "260-490-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E DUPONT RD",
            "city": "FT WAYNE",
            "state": "IN",
            "postal_code": "468252048",
            "telephone_number": "260-490-8110",
            "fax_number": "260-490-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TANYA",
        "middle_name": "LAURETTE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005094A",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "1531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Green
• Kathryn Green
• Kourtney Green, FNP
• Stephanie Green
• Summer Green, RN
• Joseph A Greenlee III, M. D.
• Lisa A Greenway, MA
• Carolyn Warner Greer, M.D.
• Denise Y Greer, RN
• Samuel Douglas Greeson, MD

• Clinical Social Worker in Ft Wayne, IN
• Providers in Ft Wayne, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.