Jennifer Vanrensselaer Greene
Social Worker, Clinical in Mooresville, NC. Individual provider (NPI-1).
Details
- NPI
- 1093373672
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Vanrensselaer Greene
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 30, 2019
- Last updated
- May 30, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | P013107 | NC | Yes |
Practice location
134 Infield CtMooresville, NC 28117-8026
Phone 704-799-6824 · Fax 704-799-6825
Mailing address
134 Infield CtMooresville, NC 28117-8026
Phone 704-799-6824 · Fax 704-799-6825
Other practice locations
Salisbury, NC 28144-3255
Phone 704-799-6824 · Fax 704-799-6825
Charlotte, NC 28273-4353
Phone 704-799-6824 · Fax 704-799-6825
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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