Michael Green II

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

801 Pennsylvania Ave SE Ste 201
Washington, DC 20003-2152

Phone

(202) 804-6989

NPI assigned

Feb 20, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1831897891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 WELSHIRE CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PENNSYLVANIA AVE SE STE 201",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032152",
            "telephone_number": "202-804-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN II",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green Door Behavioral Health
• Green Door, Inc
• Green Door, Inc.
• Green Door, Inc.
• Green Door, Inc.
• Alison Tressa Green Imbergamo, MS, CCC-SLP
• Amy E Green-Simms, M.D.
• Aja Green-Walker, MD
• Chase Green-Williams
• Adanna Green, RBT

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.