ERIKA JANAE GREEN
NPI 1164953600
Social Worker - Clinical in Provo, UT

Q: What is Erika Green's NPI number?

The NPI number for Erika Green is 1164953600. It was assigned to this individual provider in the NPPES registry on March 26, 2017.

Q: What is Erika Green's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Erika Green was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 26, 2017PECOS EnrolledAccepts Medicare Assignment

750 N FREEDOM BLVD, PROVO, UT 84601(801) 373-4760(801) 373-0639 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 8, 2023, May 9, 2023, Mar 26, 2017 (3 updates tracked since 2017).

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About Erika Janae Green NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIKA JANAE GREEN (NPI 1164953600) is an individual clinical provider in Provo, Utah, licensed in Utah (101873983502) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1164953600

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameERIKA JANAE GREEN

Location Address750 N FREEDOM BLVDProvo, UT 84601-1677

Mailing Address750 N Freedom BlvdProvo, UT 84601-1677 · (801) 373-4760 · Fax (801) 373-0639

Phone(801) 373-4760

Fax(801) 373-0639

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 26, 2017

Last NPPES UpdateSeptember 8, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2023

✔ NPI 1164953600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in UT · 101873983502

Definition

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.

750 N FREEDOM BLVD, Provo, UT 84601

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erika Janae Green is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385134311

PECOS Enrollment IDI20251106005416

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.34 – $166.03

Typical copayment $0.00 (range $13.58 – $41.50)

Most-billed visit code NA

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZA RACHELLE GEDGE PH.D., LP

Psychologist (Clinical)