Green River Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GREEN RIVER COUNSELING LLC

Practice address

701 S 50TH St FL 3
Philadelphia, PA 19143-1689

Phone

(347) 470-9084

NPI assigned

Nov 20, 2023

Last updated

Nov 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Evening Shinerock, LCSWNPI 1134730245

Title

Manager

Phone

(603) 801-7543

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Evening Shinerock

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1134730245
  NPD Authorized official

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1770358756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 CATHARINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431628",
            "telephone_number": "603-801-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S 50TH ST FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431689",
            "telephone_number": "347-470-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN RIVER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "SHINEROCK",
        "authorized_official_first_name": "EVENING",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "603-801-7543",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Greeley
• William J Greeley, M.D.
• Green Car Care Inc
• Green Garden Home Care LLC
• Green Pharmacy and Store LLC
• Green Transportation Service LLC
• Green Tree School
• Green Tree School
• Abigail Lavinia Green, AGPCNP, DNP
• Aisha Green

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.