Individual provider Active NPI

Amy Green, LCSW

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1790116630
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1601 Riverside Dr Ste C
Nashville, TN 37216-4000
Phone
(615) 988-0346
NPI assigned
Dec 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X TN Primary

Addresses

Primary practice location

1601 Riverside Dr Ste C
Nashville, TN 37216-4000

Mailing address

3014 Forest Wander Way
Nashville, TN 37206-2559
Phone (225) 281-5049

Other practice location 1

2400 White Ave
Nashville, TN 37204-2235
Phone (615) 463-6652

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville Collaborative Counseling Center Current Accepting new patients
Mamaya Health LLC Clinical Current Accepting new patients
Wellnash Clinical CurrentSince Jul 25, 2019 Accepting new patients
Centerstone of Tennessee, Inc. PastSince Jul 3, 2010 Accepting new patients
Centerstone of Tennessee, Inc. Past Accepting new patients

Locations

1 Vantage Way
Ste E130
Nashville, TN 37228
Phone (615) 988-0346

1601 Riverside Dr
Ste C
Nashville, TN 37216
Phone (615) 570-1605

Interoperability endpoints

  • Direct secure messaging: nashvillecollaborativecounselingcenter.amygreen@154579.advancedmd-direct.com

Organizations & group practices 5

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": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1790116630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 FOREST WANDER WAY",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372062559",
            "telephone_number": "225-281-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 RIVERSIDE DR STE C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372164000",
            "telephone_number": "615-988-0346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 White Ave",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372042235",
            "country_code": "US",
            "telephone_number": "615-463-6652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.