Angela W Greene, LMSW, CAC I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1211202 Issued in SC

Practice address

9711 David Taylor Dr Apt 204
Charlotte, NC 28262-2370

Phone

(980) 949-6846

NPI assigned

Feb 1, 2013

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

Enrolled in SC, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Behavioral Health Solution of the Carolinas LLC

  • Professional Counselor
  • Rock Hill, SC
  • NPI 1437782935

  NC

  Medicare reassignment NPD Authorized official
• Lexington Richland Alcohol & Drug Abuse Council, Inc.

  • Addiction Medicine (Family Medicine) Physician
  • Columbia, SC
  • NPI 1437924438
  NPD (past)

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1912246554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N HARVIN ST",
            "address_2": "3RD FL.",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504956",
            "telephone_number": "803-775-6815",
            "fax_number": "803-773-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 DAVID TAYLOR DR APT 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622370",
            "telephone_number": "980-949-6846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 N Harvin St",
            "address_2": "3rd Fl.",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291504956",
            "country_code": "US",
            "telephone_number": "803-775-6815 x110",
            "fax_number": "803-773-6232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1565 Ebenezer Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297322494",
            "country_code": "US",
            "telephone_number": "980-949-6846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "ANGELA",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "LMSW, CAC I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-01",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9380",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "1211202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greene McIlwaine Foundation
• Nia Greene- Saunders
• Tanikka J Greene-Akrie, MSW, LCSW-A
• Alonzenia Greene
• Amonie E Greene
• Ashley Greene
• Ashlyn Michelle Greene, BS
• Cragin Whittier Greene, PA
• Dasha Ladiamond A Greene
• Fredrick L Greene, MD

• Addiction (Substance Use Disorder) Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.