Organization Active NPI

Green Light Behavioral Health Services LLC

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1992654107
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GREEN LIGHT BEHAVIORAL HEALTH SERVICES LLC
Practice address
605 Grayson Ave
Richmond, VA 23222
Phone
(804) 482-0309
NPI assigned
Jan 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Mrs. Jacquelyn Denise Green-Hancok, MSW, LCSW-S
Title
Owner
Phone
(804) 482-0309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

605 Grayson Ave
Richmond, VA 23222

Mailing address

701 E Franklin St Ste 105
Richmond, VA 23219-2502
Phone (804) 482-0309

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1769040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1992654107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E FRANKLIN ST STE 105",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232192502",
            "telephone_number": "804-482-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 GRAYSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23222",
            "telephone_number": "804-482-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LIGHT BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "GREEN-HANCOK",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-482-0309",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.