Individual provider · Type 1 NPI

Jan R. Green, LCSW

Clinical Social Worker · Alton, IL

NPI number 1255437554 Active

Practice location

815 E 5th St
Alton, IL 62002-6471

Call (618) 474-6244 Map

Fax (618) 474-6242

Mailing address

PO Box 340
Alton, IL 62002-0340

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…

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About NPI 1255437554

Jan R. Green, LCSW's National Provider Identifier is 1255437554, issued on Sep 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Alton, IL. The record was last updated on Jul 8, 2007.