MR. GLENN GARY GREENE SR. (NPI# 1306113592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306113592 |
| Entity Type | Individual |
| Full Name | MR. GLENN GARY GREENE SR. |
| Credential | LMSW |
| Practice Address |
5118 Park Ave Memphis TN 38117-5720 |
| Practice Telephone | 9014588638 |
| Mailing Telephone | 9014588638 |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LSW0000009089 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932397742 | Glenn Joel Greene | Preventive Medicine | 72 Jacobs Creek Rd, West Trenton, NJ 08628-1704 | 2007-10-05 |
| 1356366611 | Glenn Artie Greene | Dentist | 433 Carriage Dr, Beckley, WV 25801-2805 | 2006-07-13 |
| Street Address |
5118 PARK AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38117-5720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407859853 | John T Lee | Optometrist | 5118 Park Ave, Ste 101, Memphis, TN 38117-5710 | 2005-05-31 |
| 1235587957 | Megan Brack | Occupational Therapist | 5118 Park Ave, Ste 610, Memphis, TN 38117-5720 | 2016-06-03 |
| 1811380702 | Memphis Hand Center, Inc | Occupational Therapist | 5118 Park Ave, Ste 610, Memphis, TN 38117 | 2015-03-17 |
| 1083019434 | Stephanie Labrador Chin | Occupational Therapist | 5118 Park Ave, Ste 610, Memphis, TN 38117-5720 | 2014-10-28 |
| 1114334414 | David Parker Gregory | Occupational Therapist | 5118 Park Ave, Ste 610, Memphis, TN 38117-5720 | 2014-07-18 |
| 1841633146 | Melissa Sitton Faires | Occupational Therapist | 5118 Park Ave, Ste 610, Memphis, TN 38117-5720 | 2013-04-17 |
| 1396188678 | Kalen Davis | Social Worker | 5118 Park Ave, Suite 500, Memphis, TN 38117-5720 | 2013-04-16 |
| 1497023345 | Ariane P Arnold | Counselor | 5118 Park Ave, Suite 500, Memphis, TN 38117-5720 | 2011-12-07 |
| 1811264823 | Elizabeth Shelton Hayes | Social Worker | 5118 Park Ave, Suite 500, Memphis, TN 38117-5720 | 2011-11-18 |
| 1467729681 | Candace Grove | Social Worker | 5118 Park Ave, Suite 500, Memphis, TN 38117-5720 | 2011-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
| 1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
| 1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
| 1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
| 1285002451 | Shauna Lomax | Physical Therapy Assistant | 258 Leonora Dr, Memphis, TN 38117 | 2015-09-04 |
| 1255735569 | Caring Hearts of The Mid South | In Home Supportive Care | 4646 Poplar, Suite 213b, Memphis, TN 38117 | 2014-10-15 |
| 1063821296 | Tomasz A Charowski | Dentist | 670 Colonial Rd Ste 3, Memphis, TN 38117 | 2014-08-13 |
| 1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
| 1447692264 | Dory Sellers | Dentist | 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 | 2013-07-22 |
| 1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
| Find all providers in zip 38117 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942814306 | Hinda Rashki Osina | Social Worker | 5344 Brantford Ave, Memphis, TN 38120-2440 | 2020-09-03 |
| 1740893130 | Longmire Counseling Services, LLC | Social Worker | 1331 Union Ave Ste 1012, Memphis, TN 38104-7509 | 2020-08-26 |
| 1619595519 | Pha'meshia Calico | Social Worker | 3687 Paradise Lake Drive, Memphis, TN 38115-3811 | 2020-07-08 |
| 1609404599 | Amanda Lorelle Gitomer | Social Worker | 5395 Estate Office Dr Ste 15395, Memphis, TN 38119-0614 | 2020-03-28 |
| 1730748476 | Anne Renee Dillard | Social Worker | 5050 Poplar Ave Ste 1118, Memphis, TN 38157-1118 | 2019-06-06 |
| 1477111797 | Karen Elaine Dotson | Social Worker | 1039 Bluebird Rd, Memphis, TN 38116-4003 | 2019-06-01 |
| 1689150393 | Lauren Byrd Hansen | Social Worker | 4136 Philwood Ave, Memphis, TN 38122-3913 | 2018-07-16 |
| 1487164356 | Robert Brian Dove | Social Worker | 4515 Poplar Ave Ste 419, Memphis, TN 38117-7508 | 2017-10-05 |
| 1760991038 | Crystal Dinesse Deberry | Social Worker | 4821 American Way Ste 200g, Memphis, TN 38118-2471 | 2017-09-29 |
| 1780103010 | Brittney Scantling | Social Worker | 1689 Nonconnah Blvd Ste 100, Memphis, TN 38132-2111 | 2017-09-19 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.