Individual provider Active NPI

Tiana Natea Green

  • Clinical Social Worker
  • Winston Salem, NC
National Provider Identifier
1861225252
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P020478 Issued in NC
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

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
P020478NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Innovations PastSince Oct 29, 2021 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.

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.

Verify at the official NPI Registry.