Ginny Green LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GINNY GREEN LCSW LLC

Practice address

100 Sun Ave NE Ste 650
Albuquerque, NM 87109-4670

Phone

(505) 975-3498

NPI assigned

Aug 11, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Virginia Kay Green, LCSW

Title

Owner

Phone

(505) 975-3498

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1565481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565481600000",
    "number": "1720634330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67257",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871937257",
            "telephone_number": "505-975-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SUN AVE NE STE 650",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094670",
            "telephone_number": "505-975-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINNY GREEN LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-11",
        "last_updated": "2019-08-11",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-975-3498",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16088531",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Simon Lisw PC
• Gina Simon Lisw, PC
• Beth Gineris, MA DOM
• Joshua Gingerich, MSW, LCSW
• Rebecca Ginn, SLP
• Fred Ginsburg, MD
• Amanda Ginther, MOTR/L
• Alfred S Giombolini, DDS
• Kristin G Giordano, P.A.
• Yvonne Claudette Giordano, LCSW

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2019; 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.