JACK GREEN LICSW
NPI 1700326907
Social Worker - Clinical in Boston, MA

Active since March 07, 2017
300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6000 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Green Licsw NPPES

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

JACK GREEN LICSW (NPI 1700326907) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (125917) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1700326907
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACK GREENCredential: LICSW
Location Address300 LONGWOOD AVEBoston, MA 02115-5724
Mailing Address300 Longwood AveBoston, MA 02115-5724 · (617) 355-6000
Sole ProprietorNo
Enumeration DateMarch 7, 2017
Last NPPES UpdateNovember 13, 2025
NPPES CertifiedNovember 13, 2025
NPI 1700326907 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 MA · 125917
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.
300 LONGWOOD AVE, Boston, MA 02115

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.

Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115

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 Jack Green's NPI number?

The NPI number for Jack Green is 1700326907. It was assigned to this individual provider in the NPPES registry on March 7, 2017.

Where is Jack Green located?

Jack Green practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.

What is Jack Green's specialty?

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

When was this NPI record last updated?

The NPPES record for Jack Green was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.