OMAR GREEN (MSW) – Clinical Social Worker, NPI 1063843845
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for OMAR GREEN (MSW)
693 Bloomfield Ave
Bloomfield, CT 060022489
Phone: (860) 243-6584
Fax: (860) 243-6591
Type: Location
995 DAY HILL RD
WINDSOR, CT 060951722
Phone: (860) 697-3364
Fax: (860) 731-5523
Type: Mailing
693 BLOOMFIELD AVE
BLOOMFIELD, CT 060022489
Phone: (860) 243-6584
Fax: (860) 243-6591
Type: Location
883 PADDOCK AVENUE
RUSHFORD CENTER INC
MERIDEN, CT 064507044
Phone: (203) 630-5280
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-02-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180921002942 | I | Clinical Social Worker | CT | TBD |
| I20220218000358 | I | Clinical Social Worker | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06002)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| - | CT | |
| - | CT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CT | |
| Nurse Practitioner | MD | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| Internal Medicine | CT | |
| Physician Assistant | CT | |
| Family Practice | MI | |
| Certified Nurse Midwife (Cnm) | CT |
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