Nancy E Green, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

101716 Issued in MA

Practice address

173 Worcester St
Wellesley, MA 02481-5521

Phone

(617) 738-5305

Fax

(781) 237-9930

NPI assigned

Jan 16, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700938404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 CROWNINSHIELD RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024466762",
            "telephone_number": "617-566-0164",
            "fax_number": "617-566-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 WORCESTER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815521",
            "telephone_number": "617-738-5305",
            "fax_number": "781-237-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "NANCY",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "101716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE #",
            "identifier": "101716",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert S Gould, M.D.
• Kimberly E Granito
• Cheryl Gray, MD
• Clifton Grayer Jr., DMD
• Green Apple Dentistry PLLC
• Robert Greenberg
• Katherine Greene
• Carolyn Greenspon, LICSW
• Victoria L Griffin, NP
• Andrew Jon Grinsell, DMD

• Clinical Social Worker in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.