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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 01, 2021PECOS Enrolled

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: October 25, 2026.

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

On this page

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.

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

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, CareSource (Common Ground Healthcare), Dean Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily E Green Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Emily Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jefferson County

Same address

Mental Health (Including Community Mental Health Center)

1541 ANNEX RD
Jefferson, WI 53549

Reassigned Medicare billing, Wisconsin enrollment
25 clinicians in this Medicare group

NPI 1275614919 (920) 674-3105

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 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.

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