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MS. STACY JAYE GREEN LCSW
NPI 1265598361
Social Worker - Clinical in Swarthmore, PA

Active since December 31, 2006Opted out of Medicare · through Sep 20, 2026
500 COLLEGE AVE, WORTH HEALTH CENTER - NORTH WING, SWARTHMORE, PA 19081(215) 803-8314 Get Directions Write a Review

NPPES record last updated: March 24, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Stacy Jaye Green Lcsw NPPES

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

MS. STACY JAYE GREEN LCSW (NPI 1265598361) is an individual clinical provider in Swarthmore, Pennsylvania, licensed in Pennsylvania (CW016181) and active in the NPI registry since December 2006. She has opted out of Medicare through September 20, 2026.

NPPES Registry Identity

NPI1265598361
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. STACY JAYE GREENCredential: LCSW
Location Address500 COLLEGE AVE, WORTH HEALTH CENTER - NORTH WINGSwarthmore, PA 19081-1306
Mailing Address500 College Ave, Worth Health Center - North WingSwarthmore, PA 19081-1306 · (215) 803-8314
Phone(215) 803-8314
Sole ProprietorYes
Enumeration DateDecember 31, 2006
Last NPPES UpdateMarch 24, 2016
✔ NPI 1265598361 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 PA · CW016181
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.
500 COLLEGE AVE, Swarthmore, PA 19081
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Stacy Jaye Green Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 20, 2024 through September 20, 2026.

Opt-Out Effective DateSeptember 20, 2024
Opt-Out In Effect ThroughSeptember 20, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

DR. HILARY HLA PSY.D.
Psychologist
500 COLLEGE AVE
SWARTHMORE, PA 19081
Delaware County (610) 690-1247
MRS. CASEY LEIGH ANDERSON CRNP
Nurse Practitioner (Family)
500 COLLEGE AVE
SWARTHMORE, PA 19081
Delaware County (610) 328-8058
SWARTHMORE COLLEGE STUDENT HEALTH SERVICE
Clinic/Center (Health Service)
500 COLLEGE AVE, SWARTHMORE COLLEGE HEALTH SERVICES
SWARTHMORE, PA 19081
Delaware County (610) 328-8058
MS. ALICE RACHEL HOLLAND APRN
Nurse Practitioner (Family)
500 COLLEGE AVE
SWARTHMORE, PA 19081
Delaware County (610) 328-8061
LAUREN BRUNO GODFREY APN
Nurse Practitioner (Family)
500 COLLEGE AVE
SWARTHMORE, PA 19081
Delaware County (610) 328-8058

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 Stacy Green's NPI number?

The NPI number for Stacy Green is 1265598361. It was assigned to this individual provider in the NPPES registry on December 31, 2006.

Where is Stacy Green located?

Stacy Green practices at 500 College Ave Worth Health Center - North Wing, Swarthmore, PA 19081. The listed phone number is (215) 803-8314.

What is Stacy Green's specialty?

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

Is Stacy Green enrolled in Medicare?

No. Stacy Green has opted out of Medicare through September 20, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Stacy Green was last updated on March 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.