Individual provider · Type 1 NPI

Jon Adam Green, LCSWA

Clinical Social Worker · Raleigh, NC

NPI number 1275420614 Active

Practice location

7850 Brier Creek Pkwy Ste 102
Raleigh, NC 27617-8900

Call (984) 263-0846 Map

Mailing address

107 Westview Dr
Carrboro, NC 27510-1501

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP022175 (NC)

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 1275420614

Jon Adam Green, LCSWA's National Provider Identifier is 1275420614, issued on Jun 19, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Jun 19, 2025.