Adrian Green, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009299 Issued in NC

Practice address

9428 John Russell Rd
Charlotte, NC 28215-7598

Phone

(704) 281-8803

NPI assigned

Feb 1, 2018

Last updated

Feb 6, 2018By 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

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

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 2

Specialty

Clinical Social Worker

Education

University of North Carolina at Chapel Hill School of Medicine, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Innovation Counseling ServicesGroup PAC ID 9830515535, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Innovation Counseling Services

  • Community/Behavioral Health Agency
  • Greer, SC
  • NPI 1457993123

  Mental Health

  Medicare reassignment Care Compare group NPD
• Well America Inc

  • Clinical Psychologist
  • Raleigh, NC
  • NPI 1053074765
  Medicare reassignment NPD
• Therapycentral Inc

  • Psychologist
  • Myrtle Beach, SC
  • NPI 1699429720
  Medicare reassignment

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1811495120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9428 JOHN RUSSELL RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9428 JOHN RUSSELL RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157598",
            "telephone_number": "704-281-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ADRIAN",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C009299",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Christine Greco, LCMHCA
• Jacquelynne Michelle Greco, MA, LCMHC, NCC
• Ellen Asenath Greear, NP-C
• Green Hearts Homecare
• Green Pastures Home Care
• Angel Green, MS, MA, NCC, LPCA
• Ariyah Green
• Barbara Gordon Green, PT, MS
• Brianna Green
• Brisha Green

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, 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 Feb 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.