MEDICARE: JOANNA LEE GREEN HODY LCSWA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	P023387	NC

General Provider Information

NPI Number	:	1871442749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNA LEE GREEN HODY LCSWA

Provider Business Mailing Address
First Line	:	10001 GOODVIEW CT
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27613-5428
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	128 RALEIGH ST
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-9043
Country	:	US
Telephone Number	:	919-230-1229
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2026
Last Update Date	:	01/24/2026

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