Individual provider Active NPI

Lynette Green, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1790064327
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
078275 Issued in NY
Practice address
66 Boerum PL
Brooklyn, NY 11201-5705
Phone
(347) 422-2414
NPI assigned
Aug 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 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 078275 NY Primary

Addresses

Primary practice location

66 Boerum PL
Brooklyn, NY 11201-5705

Mailing address

2450 Nostrand Ave Apt 7C
Brooklyn, NY 11210-4027
Phone (347) 754-8263

Other practice location 1

26 Court St Ste 409
Brooklyn, NY 11242-1134
Phone (347) 754-8263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170126000119 NY Practitioner - Clinical Social Worker 8426330549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Vincent's Services IncGroup PAC ID 7012808793, 6 clinicians

Practice addresses (Care Compare)

66 Boerum PL
Brooklyn, NY 11201-5705
Phone (718) 422-2307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: lynette.green@direct.heartshare.nextgenshare.com

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": "1313193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1790064327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 NOSTRAND AVE APT 7C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104027",
            "telephone_number": "347-754-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BOERUM PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015705",
            "telephone_number": "347-422-2414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Court St Ste 409",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112421134",
            "country_code": "US",
            "telephone_number": "347-754-8263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LYNETTE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-13",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.