Individual provider Active NPI

Rashanee Green-Younger, LCSW

  • Clinical Social Worker
  • Stratford, CT
National Provider Identifier
1780147322
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58.008434 Issued in CT
Practice address
25 Willard St
Stratford, CT 06615-6924
Phone
(203) 820-5776
NPI assigned
Apr 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 58.008434 CT Primary

Addresses

Primary practice location

25 Willard St
Stratford, CT 06615-6924

Mailing address

25 Willard St
Stratford, CT 06615-6924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190430002726 CT Practitioner - Clinical Social Worker 6608118260 Practice locations: Stratford, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2505 Main St
Suite 223
Stratford, CT 06615-5839
Phone (203) 820-5776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8434CTMDSocial Worker
58.008434CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicians Cove Clinical CurrentSince May 12, 2024 Accepting new patients
R Journey to Empowerment Clinical CurrentSince Jun 23, 2024 Accepting new patients

Locations

2505 Main St
Ste 223
Stratford, CT 06615
Phone (203) 375-5812

Organizations & group practices 2

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": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1780147322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WILLARD ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066156924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WILLARD ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066156924",
            "telephone_number": "203-820-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN-YOUNGER",
        "first_name": "RASHANEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "58.008434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

Verify at the official NPI Registry.