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Active NPI 1922828631 Individual Practitioner Female Practitioner

Peyton Mallory Green , LMSW

Social Worker • Chubbuck, ID

Professional Overview & Biography Verified Profile Summary

Peyton Green, LMSW is a registered healthcare professional specializing in Social Worker in Chubbuck, ID. Practice services are available at 210 W BURNSIDE AVE STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

210 W Burnside Ave Ste A

Chubbuck, ID 832024916

Telephone 2089069823

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Chubbuck, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
18 Specialists

Practicing in Chubbuck, ID (1625 Statewide)

Telehealth Adoption Rate
5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-16
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License ID 1761571

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1114540804

Licensed Master Social Worker

James Bakaitis , LCPC

Counselor - Professional

NPI 1154492957

Licensed Clinical Professional Counselor

Ramona Medicine Horse , LMSW

Social Worker - Clinical

NPI 1194503508

Licensed Master Social Worker

Stephanie Brannon , LCPC

Counselor - Professional

NPI 1285149732

Licensed Clinical Professional Counselor

Kayla Frandsen , LMSW

Social Worker - Clinical

NPI 1508575481

Licensed Master Social Worker

Thomas Putnam , LPC

Counselor - Mental Health

NPI 1598279366

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 16, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2024

Registered at 210 W BURNSIDE AVE STE A, CHUBBUCK, ID 832024916 (Tel: 2089069823)

📍
Updated Business Mailing Address October 16, 2024

Registered at 210 W BURNSIDE AVE STE A, CHUBBUCK, ID 832024916 (Tel: 2089069823)

👤
Provider Name / Credentials Updated October 16, 2024

Recorded as PEYTON GREEN, LMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2024

Social Worker (License #1761571 in ID)

🟢
Initial NPI Registration & Enumeration October 16, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922828631
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2024
Last Update: October 16, 2024
Sole Proprietor: No

Mailing Address

210 W Burnside Ave Ste A

Chubbuck, ID 832024916

Phone: 2089069823

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.