Individual provider · Type 1 NPI

Kenneth Vincent Green, DCSW LCSW

Clinical Social Worker · Panama City, FL

NPI number 1245281716 Active

Practice location

102 Springhill Cir
Panama City, FL 32405-3546

Fax (185) 052-2856

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XFL 3661 (FL)

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 1245281716

Kenneth Vincent Green, DCSW LCSW's National Provider Identifier is 1245281716, issued on May 12, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Panama City, FL. The record was last updated on Jul 13, 2026.