Individual provider · Type 1 NPI

Maria Juanita Green

Clinical Social Worker · Rockford, IL

NPI number 1619684883 Active

Practice location

3019 N Perryville Rd
Rockford, IL 61114-8016

Call (815) 975-3330 Map

Mailing address

2201 Waterbury Dr
Joliet, IL 60431-8584

Other practice locations

101 1/2 E Front St Ste 104, Wheaton, IL 60187-5334 · (630) 216-4038

Specialties and licenses

Taxonomy	Code	License
Social Worker	104100000X	150107081 (IL)
Clinical Social Worker Primary	1041C0700X	None 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 1619684883

Maria Juanita Green's National Provider Identifier is 1619684883, issued on Oct 27, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockford, IL. The record was last updated on Jan 28, 2025.