MR. JOHN JOSEPH GREEN L.C.S.W.
NPI 1457441628
Social Worker in Liberty, NY
About Mr. John Joseph Green L.c.s.w. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN JOSEPH GREEN L.C.S.W. (NPI 1457441628) is an individual social worker in Liberty, New York, licensed in New York (071432) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. John Joseph Green L.c.s.w. 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.
Medicare Billing Reassignment
Medicare enrollment records show John Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Howell, NJ 07731
- Reassigned Medicare billing, New York enrollment
- 156 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LIBERTY, NY 12754
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 John Green's NPI number?
The NPI number for John Green is 1457441628. It was assigned to this individual provider in the NPPES registry on October 16, 2006.
Where is John Green located?
John Green practices at 6 Wierk Ave Ste 5, Liberty, NY 12754. The listed phone number is (845) 707-2542.
What is John Green's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is John Green enrolled in Medicare?
Yes. John Green is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for John Green's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Green reassigns Medicare benefits to Supportive Care Psychology Of Ny PC (Howell, NJ). The 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 John 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 John Green was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. John Joseph Green, L.C.S.W. · NPI 1457441628
Social Worker provider in Liberty, New York. Individual provider, active in the CMS NPPES registry since October 16, 2006.
## Identity
- **NPI:** 1457441628 (Entity type: Individual)
- **Enumerated:** October 16, 2006
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 071432 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6 WIERK AVE, STE 5, Liberty, NY 12754-2117
- **Phone:** (845) 707-2542 · **Fax:** (845) 236-5634
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Supportive Care Psychology Of Ny PC (NPI 1104315068, Howell, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** July 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1457441628) · Data from the CMS NPPES public registry.