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MRS. THEODORA K GREEN LSW, CADC RMA, DVA
NPI 1255153391
Social Worker - Clinical in Evanston, IL

Active since October 29, 2024PECOS Enrolled
825 CHICAGO AVE FL 2A, EVANSTON, IL 60202(312) 725-4088 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Theodora K Green Lsw, Cadc Rma, Dva NPPES

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

MRS. THEODORA K GREEN LSW, CADC RMA, DVA (NPI 1255153391) is an individual clinical provider in Evanston, Illinois, licensed in Illinois (150.111842) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1255153391
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. THEODORA K GREENCredential: LSW, CADC RMA, DVA
Location Address825 CHICAGO AVE FL 2AEvanston, IL 60202-2375
Mailing Address7 Simpson St # 1aGeneva, IL 60134-2459 · (312) 725-4088
Phone(312) 725-4088
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 29, 2024
Last NPPES UpdateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
✔ NPI 1255153391 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 IL · 150.111842
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.
825 CHICAGO AVE FL 2A, Evanston, IL 60202
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Theodora K Green Lsw, Cadc Rma, Dva is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416439344
PECOS Enrollment IDI20260302000032
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Theodora Green reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry Of Texas PLLC
941 mi
Psychiatry
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Illinois enrollment
  • 68 clinicians in this Medicare group
NPI 1013476027 (832) 869-4818
Psychplus Medical Associates, PLLC
941 mi
Family Medicine
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Illinois enrollment
  • 68 clinicians in this Medicare group
NPI 1558118026 (832) 869-4818

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60202 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 2

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

KATELYN A KENNON LSW
Social Worker
825 CHICAGO AVE FL 2A
EVANSTON, IL 60202
Cook County (815) 236-0274
BRENDA MARIE REAVIS LCSW
Social Worker (Clinical)
825 CHICAGO AVE FL 2A
EVANSTON, IL 60202
Cook County (312) 725-4088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodora Green's NPI number?

The NPI number for Theodora Green is 1255153391. It was assigned to this individual provider in the NPPES registry on October 29, 2024.

Where is Theodora Green located?

Theodora Green practices at 825 Chicago Ave Fl 2A, Evanston, IL 60202. The listed phone number is (312) 725-4088.

What is Theodora Green's specialty?

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

Is Theodora Green enrolled in Medicare?

Yes. Theodora Green is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Theodora Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodora Green reassigns Medicare benefits to 2 organizations: Psychiatry Of Texas PLLC (Houston, TX) and Psychplus Medical Associates, PLLC (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodora Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Theodora Green was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.