EDWARD A GREEN (LCSW) – Clinical Social Worker, NPI 1639171515

EDWARD A GREEN (LCSW) is a healthcare provider. based in Kingwood, Texas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 01647 (TX). The NPI Number for EDWARD A GREEN (LCSW) is 1639171515

Main info

Male
Sole Proprietor
47 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD A GREEN (LCSW)
NPI
1639171515
Phone
(832) 622-2386
Address
4018 MEADOWGOLD LN
Enumeration Date
11 August 2005
Last Update Date
7 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9722331010
Graduation Year
1979 (47 years ago)
PAC ID
3870634850
Group Practice PAC ID
8123125580
Professional Enrollment ID
I20100427000417
Address ID
TX750132568AL400XXDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,555 CLINICAL SOCIAL WORKER in TX

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Provider Addresses for EDWARD A GREEN (LCSW)

  • 4018, Meadowgold Lane, Mills Branch, Houston, Harris County, Texas, 77345, United States

    SUITE 125

    KINGWOOD, TX 773451008

    Phone: (832) 622-2386

    Type: Mailing

  • 507, North Sam Houston Parkway East, North Houston District, Houston, Harris County, Texas, 77060, United States

    SUITE 125

    HOUSTON, TX 770604021

    Phone: (832) 622-2386

    Fax: (800) 434-4305

    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: 2010-04-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20100427000417IClinical Social WorkerTXTBD

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 77345)

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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: 8123125580View full group profile

Reviews

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Frequently asked questions

How is EDWARD A GREEN (LCSW) identified in CMS data?
CMS-hosted NPPES data lists EDWARD A GREEN (LCSW) with NPI 1639171515.
Does CMS list EDWARD A GREEN (LCSW) as active?
Yes — EDWARD A GREEN (LCSW) is active in the NPI listing used on this page.
What healthcare role does EDWARD A GREEN (LCSW) hold?
Scheduling teams often label EDWARD A GREEN (LCSW) under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Does EDWARD A GREEN (LCSW) list a practice location?
Patients near Kingwood, Texas may find EDWARD A GREEN (LCSW) in results; validate coverage separately.
Is the information about EDWARD A GREEN (LCSW) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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