Active NPI
Donysia Marie Green-Gilmore, LCSW
- Clinical Social Worker
- Oceanside, CA
National Provider Identifier
1831298710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS21218
- Practice address
- 1930 S Coast Hwy
Suite 202
Oceanside, CA 92054-6455 - Phone
- (858) 220-9006
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS21218 | CA | Primary |
Addresses
Primary practice location
1930 S Coast Hwy
Suite 202
Oceanside, CA 92054-6455
Mailing address
1021 Costa Pacifica Way
2107
Oceanside, CA 92054-2195
Phone (858) 220-9006
Other names 1
- Donysia Marie Green
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Centers at San Diego, Inc. Med GRP | Clinical | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
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.
-
- Mental Health Counselor
- San Diego, CA
- NPI 1841241585
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287446400000",
"number": "1831298710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 COSTA PACIFICA WAY",
"address_2": "2107",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920542195",
"telephone_number": "858-220-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 S COAST HWY",
"address_2": "SUITE 202",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920546455",
"telephone_number": "858-220-9006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN-GILMORE",
"first_name": "DONYSIA",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2010-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS21218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DONYSIA",
"last_name": "GREEN",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.