Active NPI
Marie D Green, MSW LSW
- Mental Health Counselor
- Cincinnati, OH
National Provider Identifier
1902313794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 11156 Canal Rd
Cincinnati, OH 45241 - Phone
- (513) 772-6166
- NPI assigned
- Jan 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1700281 | OH | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
11156 Canal Rd
Cincinnati, OH 45241
Mailing address
8323 Coghill LN
Cincinnati, OH 45239-3807
Phone (513) 497-7536
Other practice location 1
1515 Carll St
Cincinnati, OH 45225-2012
Phone (513) 872-8884 ext. 2414
Other practice location 2
1515 Carll St
Cincinnati, OH 45225-2012
Phone (513) 872-8884 ext. 2414
Other practice location 3
274 Sutton Rd
Cincinnati, OH 45230-3521
Phone (513) 741-3100
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
| License | State | Type | Specialty |
|---|---|---|---|
| S.1700281 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1902313794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8323 COGHILL LN",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452393807",
"telephone_number": "513-497-7536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11156 CANAL RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45241",
"telephone_number": "513-772-6166"
}
],
"practiceLocations": [
{
"address_1": "1515 Carll St",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452252012",
"country_code": "US",
"telephone_number": "513-872-8884 x2414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1515 Carll St",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452252012",
"country_code": "US",
"telephone_number": "513-872-8884 x2414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "274 Sutton Rd",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452303521",
"country_code": "US",
"telephone_number": "513-741-3100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "MARIE",
"middle_name": "D",
"credential": "MSW LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-03",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1700281",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.