Mikayla C Green, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

000608 Issued in CT

Practice address

370 Linwood St
New Britain, CT 06052-1949

Phone

(860) 832-5574

NPI assigned

Sep 4, 2013

Last updated

Jan 14, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Klingberg Comprehensive Family Services, Inc.

  • Community/Behavioral Health Agency
  • New Britain, CT
  • NPI 1518261999
  NPD (past)
• Klingberg Comprehensive Program Services

  • Psychiatric Residential Treatment Facility
  • New Britain, CT
  • NPI 1376699397
  NPD (past)

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1891120242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 LINWOOD ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521949",
            "telephone_number": "860-832-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 LINWOOD ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521949",
            "telephone_number": "860-832-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MIKAYLA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "000608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grandview Opco LLC
• Jillian M Grant, APRN
• Nayosha Gratic
• Nicole Greatorex
• Jasmyne Green
• Kyle Greene-Pendelton, CCC-SLP
• Natalie Nicole Greenfield, LCSW
• Rachel Greenholt, LMSW
• Janet Carol Gregorian-Michaelsen, MSW
• Michael Ross Grey, M.D., M.P.H.

• Social Worker in New Britain, CT
• Providers in New Britain, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.