Individual provider · Type 1 NPI
Theodora K. Green, LSW, CADC RMA, DVA
Clinical Social Worker · Evanston, IL
Practice location
825 Chicago Ave Fl 2A
Evanston, IL 60202-2375
Mailing address
7 Simpson St # 1A
Geneva, IL 60134-2459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 150.111842 (IL) |
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 1255153391
Theodora K. Green, LSW, CADC RMA, DVA's National Provider Identifier is 1255153391, issued on Oct 29, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Evanston, IL. The record was last updated on Feb 19, 2026.