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JUSTIN FENDELL GREEN LCSWA
NPI 1497429856
Social Worker - Clinical in Fayetteville, NC

Active since August 08, 2021PECOS Enrolled
2525 RAEFORD RD STE 2, FAYETTEVILLE, NC 28305(910) 835-6895 Get Directions Write a Review

NPPES record last updated: August 8, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Justin Fendell Green Lcswa NPPES

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

JUSTIN FENDELL GREEN LCSWA (NPI 1497429856) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (P016409) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1497429856
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJUSTIN FENDELL GREENCredential: LCSWA
Location Address2525 RAEFORD RD STE 2Fayetteville, NC 28305-5091
Mailing Address6480 Kelmscot CtFayetteville, NC 28303-5674 · (910) 835-6895
Phone(910) 835-6895
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 8, 2021
NPPES CertifiedAugust 8, 2021
✔ NPI 1497429856 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 NC · P016409
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.
2525 RAEFORD RD STE 2, Fayetteville, NC 28305
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Fendell Green Lcswa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466988365
PECOS Enrollment IDI20241214000317
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 Justin Green reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Integrated Behavioral Healthcare Services, PA
0.5 mi
Psychologist
2577 RAVENHILL DR
Fayetteville, NC 28303
  • Reassigned Medicare billing, North Carolina enrollment
  • 13 clinicians in this Medicare group
NPI 1689842551 (910) 438-0947
Grow Healthcare Group PA
643 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, North Carolina enrollment
  • 712 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 28305 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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 Justin Green's NPI number?

The NPI number for Justin Green is 1497429856. It was assigned to this individual provider in the NPPES registry on August 8, 2021.

Where is Justin Green located?

Justin Green practices at 2525 Raeford Rd Ste 2, Fayetteville, NC 28305. The listed phone number is (910) 835-6895.

What is Justin Green's specialty?

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

Is Justin Green enrolled in Medicare?

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

Which organizations bill Medicare for Justin Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Green reassigns Medicare benefits to 2 organizations: Integrated Behavioral Healthcare Services, PA (Fayetteville, NC) and Grow Healthcare Group PA (Miami, FL). 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 Justin Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Green accept?

Health plans from Blue Cross and Blue Shield of NC list Justin Green as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Justin Green was last updated on August 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.