BEVERLY ANN GREEN (MSSW) – Mental Health Counselor, NPI 1932258969

BEVERLY ANN GREEN (MSSW) is a healthcare provider. based in Hudson, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSSW. They hold a License No. 813-123 (WI). The NPI Number for BEVERLY ANN GREEN (MSSW) is 1932258969

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
BEVERLY ANN GREEN (MSSW)
NPI
1932258969
Phone
(262) 789-1191
Address
131 CARMICHAEL RD STE 206
Enumeration Date
9 January 2007
Last Update Date
15 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7156902115
Graduation Year
1988 (38 years ago)
PAC ID
5395838676
Group Practice PAC ID
4981122736
Professional Enrollment ID
I20070831000256
Address ID
WI540168271HU131XXRDXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,447 CLINICAL SOCIAL WORKER in WI

Provider Addresses for BEVERLY ANN GREEN (MSSW)

  • 131 CARMICHAEL RD STE 206

    HUDSON, WI 540168271

    Phone: (262) 789-1191

    Type: Location

  • 1752 DORSET LN

    NEW RICHMOND, WI 540172452

    Phone: (715) 246-6991

    Fax: (715) 246-8284

    Type: Mailing

  • Bergslien Street, Baldwin, Saint Croix County, Wisconsin, 54002, United States

    BALDWIN, WI 540022600

    Phone: (715) 684-1111

    Fax: (715) 684-1524

    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: 2007-08-31

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
I20070831000256IClinical Social WorkerWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes17514$0
View full utilization report →

Insurance plans in this area (ZIP 54016)

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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: 4981122736View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Mental Health CounselorWI
Mental Health CounselorWI
Marriage And Family TherapistWI
Marriage And Family TherapistWI

Reviews

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Frequently asked questions

What identifier follows BEVERLY ANN GREEN (MSSW) across health systems?
The NPI 1932258969 uniquely identifies BEVERLY ANN GREEN (MSSW) in U.S. healthcare data.
Is BEVERLY ANN GREEN (MSSW)'s NPI status active today?
Active status means BEVERLY ANN GREEN (MSSW)'s NPI record is not deactivated in the public file.
What services align with BEVERLY ANN GREEN (MSSW)'s listing?
BEVERLY ANN GREEN (MSSW)'s public classification highlights Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is BEVERLY ANN GREEN (MSSW) tied to Hudson, Wisconsin?
If you are local to Hudson, Wisconsin, BEVERLY ANN GREEN (MSSW) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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