Active NPI
Tiana Natea Green
- Clinical Social Worker
- Winston Salem, NC
National Provider Identifier
1861225252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P020478
- Practice address
- 4140 Cherry St
Winston Salem, NC 27105-2536 - Phone
- (704) 986-1500
- NPI assigned
- Aug 22, 2024
- Sex
- Female
- Sole proprietor
- No
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 | P020478 | NC | Primary |
Addresses
Primary practice location
4140 Cherry St
Winston Salem, NC 27105-2536
Mailing address
4140 Cherry St
Winston Salem, NC 27105-2536
Phone (704) 986-1500
Other practice location 1
1981 Eastchester Drive
High Point, NC 27265
Phone (336) 905-8011
Other practice location 2
4154 Mendenhall Oaks Pkwy Ste 103
High Point, NC 27265-8426
Phone (336) 905-8011 ext. 13163
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P020478 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Innovations | Past | Accepting new patients | |
| Mindful Therapeutic Community Support Program | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- High Point, NC
- NPI 1043975048
-
- Community/Behavioral Health Agency
- High Point, NC
- NPI 1811833643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1861225252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 CHERRY ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271052536",
"telephone_number": "704-986-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4140 CHERRY ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271052536",
"telephone_number": "704-986-1500"
}
],
"practiceLocations": [
{
"address_1": "1981 Eastchester Drive",
"address_purpose": "LOCATION",
"city": "High Point",
"state": "NC",
"postal_code": "27265",
"country_code": "US",
"telephone_number": "336-905-8011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4154 Mendenhall Oaks Pkwy Ste 103",
"address_purpose": "LOCATION",
"city": "High Point",
"state": "NC",
"postal_code": "272658426",
"country_code": "US",
"telephone_number": "336-905-8011 x13163",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "TIANA",
"middle_name": "NATEA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-22",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P020478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.