Angela M Greene LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW012101 Issued in PA

Legal business name

ANGELA M GREENE LLC

Practice address

26 Summit Grove Ave
Bryn Mawr, PA 19010-3230

Phone

(610) 348-5477

NPI assigned

Sep 1, 2017

Organization subpart

No

Name

Angela Greene, LCSWNPI 1518392422

Title

Clinical Social Worker

Phone

(610) 348-5477

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Greene, LCSW

  • Clinical Social Worker
  • Bryn Mawr, PA
  • NPI 1518392422

  Clinical, PA

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in PA

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801314570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SUMMIT GROVE AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103230",
            "telephone_number": "610-348-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SUMMIT GROVE AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103230",
            "telephone_number": "610-348-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA M GREENE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "610-348-5477",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bryn Mawr, PA
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.