Individual provider Active NPI

Sentoria Green, LMSW

  • Clinical Social Worker
  • Watkinsville, GA
National Provider Identifier
1760283840
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MSW012403 Issued in GA
Practice address
1691 Meriweather Dr Ste 109
Watkinsville, GA 30677-7787
Phone
(706) 883-5300
NPI assigned
Mar 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MSW012403 GA Primary

Addresses

Primary practice location

1691 Meriweather Dr Ste 109
Watkinsville, GA 30677-7787

Mailing address

956 Graham Campbell LN
Statham, GA 30666-1896
Phone (706) 410-0616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MSW012403GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sunny Days Therapeutics Clinical CurrentSince Jun 13, 2025 Accepting new patients

Locations

1691 Meriweather Dr
Ste 109
Watkinsville, GA 30677
Phone (706) 883-5300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1760283840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 GRAHAM CAMPBELL LN",
            "city": "STATHAM",
            "state": "GA",
            "postal_code": "306661896",
            "telephone_number": "706-410-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 MERIWEATHER DR STE 109",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777787",
            "telephone_number": "706-883-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SENTORIA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW012403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.