Jonah David Green, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09449 Issued in MD

Practice address

3930 Knowles Ave Ste 200
Suite 200
Kensington, MD 20895-2428

Phone

(301) 967-7567

Fax

(301) 949-0677

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2023 through Jul 1, 2027

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1922113992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 KNOWLES AVENUE",
            "address_2": "SUITE 200",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "20895",
            "telephone_number": "301-466-9526",
            "fax_number": "301-949-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 KNOWLES AVE STE 200",
            "address_2": "SUITE 200",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952428",
            "telephone_number": "301-967-7567",
            "fax_number": "301-949-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JONAH",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026303601",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Gorski, MS, OTR/L
• Rajiv Goyal, MD
• Benjamin Grace
• Leslie Annette Grant Albert, OD, FAAO
• Cheryl Gray, PHARM.D.
• Susan Green, DDS
• David Nathan Greenblum, MD
• Amy Greene, LCSW-C
• Patricia D Greene, MS CCCA
• Zachary Durand Grogan

• Clinical Social Worker in Kensington, MD
• Providers in Kensington, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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; Opt Out Affidavits.
• 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.