Individual provider · Type 1 NPI
Katie Lynn Green
Clinical Social Worker · Tyler, TX
Practice location
3972 Chapel Woods Blvd
Tyler, TX 75707-5474
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 113340 (TX) |
| Mental Health Counselor | 101YM0800X | 113340 (TX) |
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 1053076497
Katie Lynn Green's National Provider Identifier is 1053076497, issued on Nov 1, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tyler, TX. The record was last updated on Sep 5, 2026.