Mary Ling Green, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

20274 Central Ave W
Blountstown, FL 32424-1957

Phone

(850) 674-8888

Fax

(850) 237-1223

NPI assigned

Jan 11, 2021

Last updated

Jan 11, 2021By the provider in NPPES

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

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1730778176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W PENSACOLA ST # 703C",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323043525",
            "telephone_number": "352-216-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20274 CENTRAL AVE W",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324241957",
            "telephone_number": "850-674-8888",
            "fax_number": "850-237-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MARY",
        "middle_name": "LING",
        "name_prefix": "Miss",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifford Dowling Goodman II, RPH
• Howell Stewart Goodman Sr., RPH
• Jennie Goodman, RPH
• Leesa Graham
• Jodi Elicia Granger, RN
• Nicholas Gregg, D.M.D.
• Christopher S. Gunter
• Rebekah Kathleen Hancock, MS
• Norah M Handley, R.D.H.
• Sodagam N Harikrishna

• Clinical Social Worker in Blountstown, FL
• Providers in Blountstown, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.