Individual provider · Type 1 NPI

Shantel Green

Clinical Social Worker · Fort Worth, TX

NPI number 1396573580 Active

Practice location

4500 Mercantile Plaza Dr Ste 300
Fort Worth, TX 76137-4206

Call (817) 482-0537 Map

Mailing address

1751 River Run Ste 200
Fort Worth, TX 76107-6670

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X106566 (TX)

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 1396573580

Shantel Green's National Provider Identifier is 1396573580, issued on Jul 22, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Worth, TX. The record was last updated on Dec 16, 2025.