Jennifer Marie Greene, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009076 Issued in VA

Practice address

1503 Russell Rd
Alexandria, VA 22301-2052

Phone

(703) 568-7909

NPI assigned

Apr 3, 2020

Sex

Female

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

Opted out of Medicare

Yes, effective Feb 5, 2021 through Feb 5, 2027

Medicare enrollment (NPD)

Not 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.

• Boyd Cowan, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Alexandria, VA
  • NPI 1801353719
  NPD (past)
• Dr. Goldberg & Associates

  • Clinical Psychologist
  • Vienna, VA
  • NPI 1437586526
  NPD (past)

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1871122648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 RUSSELL RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223012052",
            "telephone_number": "703-568-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 RUSSELL RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223012052",
            "telephone_number": "703-568-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Green, D.D.S.
• Mikail S Green
• Nyla Green
• Elise Joy Greenberg, ACUPUNCTURIST
• Chrishonna C Greene, LCSW
• Sebrena Greene
• Velvettea Toya Greene
• William Chandler Greene Jr., PHARM.D
• Cynthia Titus Greenspan, LCSW
• Denise Gay Greenwood, LCSW

• Clinical Social Worker in Alexandria, VA
• Providers in Alexandria, 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 Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.