Individual provider · Type 1 NPI

Emerald Green

Clinical Social Worker · Broken Arrow, OK

NPI number 1104633411 Active

Practice location

2548 E Kenosha St
Broken Arrow, OK 74014-6712

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	None 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 1104633411

Emerald Green's National Provider Identifier is 1104633411, issued on Dec 11, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Broken Arrow, OK. The record was last updated on Jan 31, 2025.