Stella Louise Green, LCAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P015771 Issued in NC

Practice address

1003 Dresser CT
Raleigh, NC 27609-7323

Phone

(919) 532-9855

NPI assigned

Apr 19, 2012

Last updated

Oct 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Life Extensions LLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1528688678

  Clinical

  NPD Authorized official
• Cottage Health Care Services, Inc

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1386771657

  Multi-Specialty

  NPD (past)
• Cottage Health Care Services, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Raleigh, NC
  • NPI 1487975074

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1790042356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 CALLIOPE WAY APT 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276166060",
            "telephone_number": "195-329-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 DRESSER CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097323",
            "telephone_number": "919-532-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "STELLA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2908",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790042356",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jon Adam Green, LCSWA
• Jonathan S Green, MD
• Latonia Green
• Lavita Crutcher Green, MSSW, LCSW
• Mitzi Green, COTA/L
• Terranda Green
• Greenbrook TMS Cary LLC
• Greenbrook TMS North Raleigh LLC
• Beth H Greene, MSW, LCSWA
• Brooke L Greene, SLP

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.