MR. JACQUES DEWAYNE GREEN LMSW - NPI 1841482791 - Social Worker in Grand Rapids, MI

Q: What is Jacques Green's NPI number?

The NPI number for Jacques Green is 1841482791. It was assigned to this individual provider in the NPPES registry on August 15, 2007.

Q: What is Jacques 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 Jacques Green was last updated on May 3, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Jacques Dewayne Green Lmsw NPPES

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

MR. JACQUES DEWAYNE GREEN LMSW (NPI 1841482791) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801089203) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1841482791

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. JACQUES DEWAYNE GREENCredential: LMSW

Location Address359 DIVISION AVE SGrand Rapids, MI 49503-4537

Mailing Address129 Dogwood Dr NeRockford, MI 49341-7396

Phone(616) 685-3800

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateAugust 15, 2007

Last NPPES UpdateMay 3, 2017

✔ NPI 1841482791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6801089203

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 C-03173 (MI)

359 DIVISION AVE S, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Mr. Jacques Dewayne Green Lmsw 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 ID1850616020

PECOS Enrollment IDI20150210001341

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 49503 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 $54.34 – $166.68

Typical copayment $0.00 (range $13.58 – $41.67)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY CHRISTINE BROUWER MA, OTR

Occupational Therapist