Active NPI
Michelle Jessica Green, B.S., M.S.W.
- Social Worker
- Worcester, MA
National Provider Identifier
1861801185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 340 Main Street
Suite 818
Worcester, MA 01608 - Phone
- (508) 791-4976
- NPI assigned
- Aug 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
340 Main Street
Suite 818
Worcester, MA 01608
Mailing address
340 Main Street
Suite 818
Worcester, MA 01608
Phone (508) 450-9127
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
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Bay Mental Health Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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 Clinic/Center (Including Community Mental Health Center)
- Brockton, MA
- NPI 1023096864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407801600000",
"number": "1861801185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 MAIN STREET",
"address_2": "SUITE 818",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01608",
"telephone_number": "508-450-9127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 MAIN STREET",
"address_2": "SUITE 818",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01608",
"telephone_number": "508-791-4976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "MICHELLE",
"middle_name": "JESSICA",
"name_prefix": "Ms.",
"credential": "B.S., M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-12",
"last_updated": "2014-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.