Andrew L Green, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05492700 Issued in NJ

Practice address

910 Woodland Dr
Lakewood, NJ 08701-3039

Phone

(732) 806-5630

NPI assigned

Feb 13, 2012

Sex

Male

Sole proprietor

Yes

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)

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.

• Mental Health & Addiction Wellness Center, LLC

  • Clinical Social Worker
  • Lakewood, NJ
  • NPI 1629618178
  NPD (past) Authorized official
• Comprehensive Psychological and Wellness Center,LLC

  • Prescribing (Medical) Psychologist
  • Forked River, NJ
  • NPI 1821208158
  NPD (past)

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1861765448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 WOODLAND DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013039",
            "telephone_number": "732-806-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WOODLAND DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013039",
            "telephone_number": "732-806-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ANDREW",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05492700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Grasso, BCBA
• Flavia Gray
• Great Health Medical New Jersey PC
• Great Health Medical NJ PC
• Sandra C Grebel
• Chaya Kayla Green, DPT
• Sara Green, MS, OTR/L
• Tamar B Green, MD
• Malka Greenbaum
• Bram Greenberg, M.D.

• Clinical Social Worker in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.