Active NPI
Amy Jo Green, LSW
- Social Worker
- New Lexington, OH
National Provider Identifier
1962619353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S0015240
- Practice address
- 1375 Commerce Dr
New Lexington, OH 43764-9511 - Phone
- (740) 454-9766
- Fax
- (740) 588-6452
- NPI assigned
- May 17, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S0015240 | OH | Primary |
Addresses
Primary practice location
1375 Commerce Dr
New Lexington, OH 43764-9511
Mailing address
6225 Frazeysburg Rd
Nashport, OH 43830-9651
Phone (740) 452-0199
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 |
|---|---|---|---|
| S0015240 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962619353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6225 FRAZEYSBURG RD",
"city": "NASHPORT",
"state": "OH",
"postal_code": "438309651",
"telephone_number": "740-452-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 COMMERCE DR",
"city": "NEW LEXINGTON",
"state": "OH",
"postal_code": "437649511",
"telephone_number": "740-454-9766",
"fax_number": "740-588-6452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "AMY",
"middle_name": "JO",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S0015240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Lexington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.