IndividualActive
Jack Green, LICSW
NPI 1700326907 · Clinical Social Worker · Boston, MA
Jack Green, LICSW is a Clinical Social Worker provider in Boston, MA (NPI 1700326907).
Provider details
- NPI number
- 1700326907
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- No
- License
- 125917 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000
Street-level locationGet directions
Mailing address
300 Longwood Ave
Boston, MA 02115-5724
Registry dates
- Enumerated
- 2017-03-07
- Last updated
- 2025-11-13
- Certified
- 2025-11-13
Frequently asked questions
- What is Jack Green's NPI number?
- Jack Green's National Provider Identifier (NPI) is 1700326907, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Green's specialty?
- Jack Green is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jack Green located?
- Jack Green's practice location on file with NPPES is 300 Longwood Ave, Boston, MA 02115-5724.
- What is Jack Green's phone number?
- The practice phone number listed in the NPPES registry for Jack Green is (617) 355-6000.
- Is Jack Green's NPI active?
- Yes — Jack Green's NPI (1700326907) is active in the NPPES registry as of the last update on 2025-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.