The Green Therapeutic Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE GREEN THERAPEUTIC CENTER

Practice address

41 Mechanic St
Windsor, CT 06095-2545

Phone

(860) 780-2456

NPI assigned

Jan 30, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Leon G Green, LCSWNPI 1063985547

Title

Managing Member

Phone

(860) 938-1208

Specialties & licenses 1

Addresses

Practitioners 1

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

• Leon G Green, LCSW

  • Clinical Social Worker
  • Hartford, CT
  • NPI 1063985547

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1821850298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 ALBANY AVE # 1174",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172335",
            "telephone_number": "860-938-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MECHANIC ST",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952545",
            "telephone_number": "860-780-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GREEN THERAPEUTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "860-938-1208",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya Taylor
• Pamela M. Taylor, PSY.D.
• Lilliana Judith Tejada
• Payal Thaker
• Rebecca Jean Tharaldson, PTA
• The Stop & Shop Supermarket Company LLC
• Thomas D. Patenaude, Psy.D., L.L.C.
• Crystal Thomas
• Keyona Thomas
• Kishauna Deirdre-Ann Thomas, MSW

• All providers in Windsor, CT
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.