Individual provider · Type 1 NPI

Katie Lynn Green, LMSW

Clinical Social Worker · Ada, MI

NPI number 1306509013 Active

Practice location

7128 Fulton St E
Ada, MI 49301-8413

Call (616) 825-3530 Map

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801112387 (MI)

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 1306509013

Katie Lynn Green, LMSW's National Provider Identifier is 1306509013, issued on Oct 19, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ada, MI. The record was last updated on Jul 31, 2023.