Individual provider · Type 1 NPI

Kenisha Green

Clinical Social Worker · Chicago, IL

NPI number 1023903572 Active

Practice location

710 S Paulina St Ste 438
Chicago, IL 60612-3808

Call (312) 563-9196 Map

Mailing address

1053 W 108th Pl
Chicago, IL 60643-3724

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149031840 (IL)
Social Worker 104100000XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1023903572

Kenisha Green's National Provider Identifier is 1023903572, issued on Jun 12, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on May 26, 2026.