Individual provider Active NPI

Jennifer A Greene, LCSW

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1699171199
Registry record updated Aug 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090230 Issued in NY
Practice address
2307 W Cone Blvd Ste 209
Greensboro, NC 27408-4027
Phone
(845) 654-3443
NPI assigned
Nov 10, 2014
Last updated
Aug 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 093635 NY
Clinical Social Worker 1041C0700X 090230 NY Primary
Clinical Social Worker 1041C0700X C015333 NC

Addresses

Primary practice location

2307 W Cone Blvd Ste 209
Greensboro, NC 27408-4027

Mailing address

11 Flagship CV
Greensboro, NC 27455-3428
Phone (845) 654-3443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20250331001523 NC Practitioner - Clinical Social Worker 9739602772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Partners for Mental Health, PLLCGroup PAC ID 8426409863, 6 clinicians

Practice addresses (Care Compare)

2723 Horse Pen Creek Rd
Suite 105
Greensboro, NC 27410-8390
Phone (336) 265-1762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
090230NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Partners for Mental Health, PLLC Clinical CurrentSince Mar 20, 2025 Accepting new patients
Jennifer a. Greene, Licensed Clinical Social Worker, P.L.L.C. Clinical CurrentSince Aug 1, 2026 Accepting new patients

Locations

2307 W Cone Blvd
Ste 209
Greensboro, NC 27408

2723 Horse Pen Creek Rd
Ste 105
Greensboro, NC 27410
Phone (336) 265-1762

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786147200000",
    "number": "1699171199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FLAGSHIP CV",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553428",
            "telephone_number": "845-654-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 W CONE BLVD STE 209",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084027",
            "telephone_number": "845-654-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "093635",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090230",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.