Individual provider · Type 1 NPI

Nicole Marie Green, LMSW

Clinical Social Worker · St. Clair Shores, MI

NPI number 1124400932 Active

Practice location

21611 E 11 Mile Rd Ste A
St. Clair Shores, MI 48081-1636

Other practice locations

  • 1050 W University Dr Ste 2, Rochester, MI 48307-1877 · (947) 237-6420

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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…

2 other providers at this address

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About NPI 1124400932

Nicole Marie Green, LMSW's National Provider Identifier is 1124400932, issued on Jun 29, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Clair Shores, MI. The record was last updated on May 8, 2026.