Elizabeth R Green, LCSW, LMSW, QMHP-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904014583 Issued in VA

Practice address

700 University City Blvd
Blacksburg, VA 24060-2706

Phone

(540) 961-8300

NPI assigned

Sep 19, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• New River Valley Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Blacksburg, VA
  • NPI 1942304126
  Medicare reassignment NPD
• New River Valley Community Services

  dba NRVCS Primary Care

  • Family Medicine Physician
  • Blacksburg, VA
  • NPI 1922633544
  NPD

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1841692027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 UNIVERSITY CITY BLVD",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240602706",
            "telephone_number": "540-961-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 UNIVERSITY CITY BLVD",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240602706",
            "telephone_number": "540-961-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30800 Chagrin Blvd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441245925",
            "country_code": "US",
            "telephone_number": "216-591-0324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ELIZABETH",
        "middle_name": "R",
        "credential": "LCSW, LMSW, QMHP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.121484",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0903002937",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2374229",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard G Graham, LPC, CSAC
• Katherine Carter Gray, LPC
• Sierra Harvest Gray
• Casey Alan Graybill, NP
• Hayley Graybill, FNP-C
• Rachel Alice Greene, M.S. CCC-SLP
• John Marshall Gregg, DDS
• Brett Griesemer, MAED, ATC
• Franklin Griffey, LPC
• Kati Griggs, LPC

• Clinical Social Worker in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.