Individual provider Active NPI

Angela Brooks-Green, LCSW

  • Clinical Social Worker
  • Owensboro, KY
National Provider Identifier
1801210372
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1687 Issued in KY
Practice address
5278 Jones Rd
Owensboro, KY 42303-9766
Phone
(270) 313-6069
Fax
(270) 926-0817
NPI assigned
Feb 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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 1687 KY Primary

Addresses

Primary practice location

5278 Jones Rd
Owensboro, KY 42303-9766

Mailing address

5278 Jones Rd
Owensboro, KY 42303-9766
Phone (270) 313-6069

Other names 1

  • Mrs. Angela Brooks-Green Professional name

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

State licenses

LicenseStateTypeSpecialty
1687KYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1801210372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5278 JONES RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039766",
            "telephone_number": "270-313-6069",
            "fax_number": "270-926-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5278 JONES RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039766",
            "telephone_number": "270-313-6069",
            "fax_number": "270-926-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS-GREEN",
        "first_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BROOKS-GREEN",
            "prefix": "MRS.",
            "credential": "CSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.