Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justin Fendell Green, LCSWA

Individual provider Clinical Social Worker · NPI 1497429856

Justin Fendell Green, LCSWA is a Clinical Social Worker in Fayetteville, North Carolina. Qualified in 2010, 16 years ago. Practices with Integrated Behavioral Healthcare Services, PA, a 5-clinician group and offers telehealth. Licensed in North Carolina.

Years since qualifying
16
Licensed in
NC
In the registry since
2021
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Practice location Address checks out

2525 Raeford Rd Ste 2
Fayetteville, NC 28305-5091
Phone: (910) 835-6895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P016409 (NC)

Record details

NPI number1497429856
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSWA
Sole proprietorYes
NPI enumeratedAugust 8, 2021
Last updated in NPPESAugust 8, 2021
Certification dateAugust 8, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Integrated Behavioral Healthcare Services, Pa — 5 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Fayetteville