NPIMap

Individual provider Active NPI

Patricia Green, LCSW

  • Clinical Social Worker
  • Hainesport, NJ
National Provider Identifier
1902293301
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01374100 Issued in NJ
Practice address
100 Creek Crossing Blvd
Suite 108
Hainesport, NJ 08036-2765
Phone
(609) 702-5880
Fax
(609) 702-5882
NPI assigned
Apr 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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 44SC01374100 NJ Primary

Addresses

Primary practice location

100 Creek Crossing Blvd
Suite 108
Hainesport, NJ 08036-2765

Mailing address

100 Creek Crossing Blvd
Suite 108
Hainesport, NJ 08036-2765
Phone (609) 702-5880

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
44SC01374100NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Newsome Psychological Services 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.

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1902293301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CREEK CROSSING BLVD",
            "address_2": "SUITE 108",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362765",
            "telephone_number": "609-702-5880",
            "fax_number": "609-702-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CREEK CROSSING BLVD",
            "address_2": "SUITE 108",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362765",
            "telephone_number": "609-702-5880",
            "fax_number": "609-702-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "PATRICIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01374100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hainesport, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.