Savannah Judianne Green, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

66071 Issued in TX

Practice address

16830 Bailey Jean Dr
Round Rock, TX 78681-5313

Phone

(512) 923-6941

NPI assigned

Nov 7, 2023

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": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1700650041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16830 BAILEY JEAN DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16830 BAILEY JEAN DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815313",
            "telephone_number": "512-923-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SAVANNAH",
        "middle_name": "JUDIANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Green, RBT
• Kaitlynn Beth Green, RBT
• Kelsey Patricia Green, PT, DPT
• Kristle Green, PHARMD.
• Rachel Lindsay Green, DPT
• Sophia Elise Green
• Greenlawn Family Chiropractic
• Heather Greer, NP-C
• Jessica Dinneen Grenard, PA-C
• Dylan Gretzler, RBT

• Clinical Social Worker in Round Rock, TX
• Providers in Round Rock, 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 Nov 7, 2023; 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.