Individual provider · Type 1 NPI

Myranda Su Green, LLMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1497312904 Active

Practice location

385 Leonard St NE
Grand Rapids, MI 49503-1129

Call (616) 591-4891 Map

Other practice locations

  • 799 Hombach St, St. Ignace, MI 49781-1735 · (616) 591-4891
  • 160 Manley St, Holland, MI 49424-2110 · (616) 591-4891

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 1497312904

Myranda Su Green, LLMSW's National Provider Identifier is 1497312904, issued on May 21, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on May 21, 2019.