Amy Larsson Greene, MA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1025610 Issued in MA

Practice address

24 Lincoln St
Newton, MA 02461-1524

Phone

(617) 964-5326

Fax

(617) 964-5326

NPI assigned

Dec 18, 2006

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

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.

Opted out of Medicare

Yes, effective Apr 1, 2018 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720141369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ERIE AVE",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611515",
            "telephone_number": "617-964-5326",
            "fax_number": "617-964-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 LINCOLN ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611524",
            "telephone_number": "617-964-5326",
            "fax_number": "617-964-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "AMY",
        "middle_name": "LARSSON",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1025610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Greaney
• Alexis Green
• Dylan Green
• Jennifer B. Greenberg, PCD, IBCLC
• Sarah Greenberg, LICENSED INDEPENDENT
• Mikala Suzanne Greenough
• Rhoda Greenspan, MSW, LICSW
• Ilene Meryl Greenwald, OTR/L
• Karen Clark Greenwood, MSW, LICSW
• Linda Gregoire, PT

• Clinical Social Worker in Newton, MA
• Providers in Newton, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.