Individual provider · Type 1 NPI

Elyse Green

Clinical Social Worker · Los Angeles, CA

NPI number 1417594953 Active

Practice location

4401 Crenshaw Blvd Ste 300
Los Angeles, CA 90043-1200

Mailing address

3031 S Vermont Ave
Los Angeles, CA 90007-3033

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
School Social Worker 1041S0200XNone listed
Clinical Social Worker Primary 1041C0700X121930 (CA)

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 1417594953

Elyse Green's National Provider Identifier is 1417594953, issued on Dec 3, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Angeles, CA. The record was last updated on May 19, 2026.