Venessa Green-Davis

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

1326195637 Issued in NY

Practice address

34 Chatsworth Avenue
Chatsworth Avenue School
Larchmont, NY 10538

Phone

(914) 220-3509

NPI assigned

Oct 17, 2011

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1740565134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CHATSWORTH AVENUE",
            "address_2": "CHATSWORTH AVENUE SCHOOL",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "10538",
            "telephone_number": "914-220-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 CHATSWORTH AVENUE",
            "address_2": "CHATSWORTH AVENUE SCHOOL",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "10538",
            "telephone_number": "914-220-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN-DAVIS",
        "first_name": "VENESSA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": "1326195637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01395326",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Gabrielle Gonzalez, BA, MS.
• Ines Veronica Gonzalez, LCSW
• Barbara Gottlieb, ED.D.
• Paul G Grandsire, DMD
• Julia C Gray, MD
• Debra Cohen Green, PH.D.
• Jennifer Aliza Greenberg, MA, CCC-SLP
• Anabelle Grigorescu, D.AC, MS.AC., L.AC.
• Amy Sara Grinberg, PH.D
• Staci Grodin

• Case Manager/Care Coordinator in Larchmont, NY
• Providers in Larchmont, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.