EMILY E GREEN MSW
NPI 1669042503
Social Worker - Clinical in Jefferson, WI

Q: What is Emily Green's NPI number?

The NPI number for Emily Green is 1669042503. It was assigned to this individual provider in the NPPES registry on July 1, 2021.

Q: What is Emily 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 Emily Green was last updated on May 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 01, 2021PECOS EnrolledAccepts Medicare Assignment

1541 ANNEX RD, JEFFERSON, WI 53549(920) 674-5961 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2023, Jul 1, 2021 (2 updates tracked since 2021).

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About Emily E Green Msw NPPES

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

EMILY E GREEN MSW (NPI 1669042503) is an individual clinical provider in Jefferson, Wisconsin, licensed in Wisconsin (132496) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669042503

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameEMILY E GREENCredential: MSW

Location Address1541 ANNEX RDJefferson, WI 53549-9803

Mailing Address1541 Annex RdJefferson, WI 53549-9803 · (920) 674-5961

Phone(920) 674-5961

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 1, 2021

Last NPPES UpdateMay 5, 20232 updates tracked since enumeration

NPPES CertifiedMay 5, 2023

✔ NPI 1669042503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in WI · 132496

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 19778 (WI)

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedCommunity Health WorkerTaxonomy 172V00000X

1541 ANNEX RD, Jefferson, WI 53549

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, MercyCare Health Plans and more.Insurance ›

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

Emily E Green Msw 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 ID5890138788

PECOS Enrollment IDI20240207003484

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 53549 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 $53.90 – $163.24

Typical copayment $0.00 (range $13.47 – $40.81)

Most-billed visit code NA

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

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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.

KARI LYNN KUFFER MS

Case Manager/Care Coordinator