Mary O. Green, SOCIAL WORKER

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

0648B Issued in AL

Practice address

7684 Greenridge CT
Douglasville, GA 30134-3762

Phone

(770) 330-1968

Fax

(770) 942-8498

NPI assigned

Apr 17, 2009

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

State licenses

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239926400000",
    "number": "1750524948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7684 GREENRIDGE CT",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301343762",
            "telephone_number": "770-330-1968",
            "fax_number": "770-942-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7684 GREENRIDGE CT",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301343762",
            "telephone_number": "770-330-1968",
            "fax_number": "770-942-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MARY",
        "middle_name": "O.",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AL",
            "license": "0648B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Matrece Green-Watson, DPM
• Bryan Green, PHARMD
• Kassie Danielle Green
• Kaycee Green, ATC
• Kesha P Green, LCSW
• Nakisha Green, LMT
• Sarah Green
• Shawnnetta N Green, LAPC
• Greenleaf Outreach Services
• Victoria Griffin, M.ED., LPC, MAC

• Case Manager/Care Coordinator in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Case Manager/Care Coordinator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.