Nathan Green, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I8029 Issued in OH

Practice address

1943 Newark Granville Rd
Granville, OH 43023-9169

Phone

(740) 587-5252

Fax

(740) 587-2571

NPI assigned

Oct 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Debbie E. Dickson Counseling, Inc

  • Mental Health Counselor
  • Coshocton, OH
  • NPI 1225189046
  NPD (past)
• Newark-Granville Psychological & Counseling Services LTD

  • Adult Mental Health Clinic/Center
  • Granville, OH
  • NPI 1891808648
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841387362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1943 NEWARK GRANVILLE RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239169",
            "telephone_number": "740-587-5252",
            "fax_number": "740-587-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1943 NEWARK GRANVILLE RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239169",
            "telephone_number": "740-587-5252",
            "fax_number": "740-587-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "NATHAN",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I8029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000376633",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Granville Dental Mark Alexandrunas DMD Inc
• Granville Exempted Village School District
• Granville Hand Therapy LLC
• Granville Township Trustees
• Granville Vision Center LLC
• Grey Havens LLC
• Grey Havens LLC
• William Gordon Grooms, DDS
• Meg Grossman, LISW
• Kyle Groves, ATC

• Social Worker in Granville, OH
• Providers in Granville, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.