MR. LEON K JR. GREENE (LCSW) – Clinical Social Worker, NPI 1265720775

MR. LEON K JR. GREENE (LCSW) is a healthcare provider. based in Mableton, Georgia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 13593 (LA). The NPI Number for MR. LEON K JR. GREENE (LCSW) is 1265720775

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
MR. LEON K JR. GREENE (LCSW)
NPI
1265720775
Phone
(678) 592-7507
Address
6453 BROOKSIDE BLVD SE
Enumeration Date
18 July 2011
Last Update Date
20 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7207127900
Graduation Year
2001 (25 years ago)
PAC ID
5193995371
Group Practice PAC ID
9537572490
Professional Enrollment ID
I20251008000520
Address ID
GA303261682AT3348XNEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:14State licenses:3Digital endpointsOther names

1,046 CLINICAL SOCIAL WORKER in GA

Provider Addresses for MR. LEON K JR. GREENE (LCSW)

  • 6453 BROOKSIDE BLVD SE

    MABLETON, GA 301263657

    Phone: (678) 592-7507

    Type: Mailing

  • 13022 SKYVIEW BEND DR

    HOUSTON, TX 770476511

    Phone: (832) 860-5552

    Type: Mailing

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: 2025-10-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250813002597IClinical Social WorkerLATBD
I20251008000520IClinical Social WorkerGATBD

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.

Verify on CMS Revalidation Lookup Tool

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 30126)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537572490View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Clinical PsychologistCO
Clinical Social WorkerVA
Nurse PractitionerCO
P S Y C H I A T R YPA
Clinical Social WorkerCO
Clinical Social WorkerCO
Nurse PractitionerGA
Clinical Social WorkerCO
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do I look up MR. LEON K JR. GREENE (LCSW) by NPI?
Use NPI 1265720775 when you need to reference MR. LEON K JR. GREENE (LCSW) in forms, claims, or directories.
Is MR. LEON K JR. GREENE (LCSW)'s NPI currently valid?
The extract we use shows MR. LEON K JR. GREENE (LCSW) as active.
What does MR. LEON K JR. GREENE (LCSW) treat or focus on?
Patients typically see MR. LEON K JR. GREENE (LCSW) under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location shows for MR. LEON K JR. GREENE (LCSW)?
We surface Mableton, Georgia for MR. LEON K JR. GREENE (LCSW) based on available NPPES addresses.
Is MR. LEON K JR. GREENE (LCSW) a real provider?
This page reflects official NPPES data for NPI 1265720775. Always confirm identity and privileges with the practice and licensing boards.

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