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Leslie Suzanne Green, LICSW

Social Worker, Clinical in Boston, MA. Individual provider (NPI-1).

NPI number1598918427
StatusActive
Last updated in NPPESJul 9, 2012

Details

NPI
1598918427
Entity type
Individual (NPI-1)
Name
Ms. Leslie Suzanne Green
Credential
LICSW
Sex
Female
Sole proprietor
No
Enumeration date
Oct 23, 2008
Last updated
Jul 9, 2012

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 codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical115952MAYes

Practice location

300 Longwood Ave
Boston, MA 02115-5724

Phone 857-218-4307

Mailing address

300 Longwood Ave
Boston, MA 02115-5724

Phone 857-218-4307

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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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