Individual provider · Type 1 NPI
Joycelyn Green
Clinical Social Worker · Vicksburg, MS
Practice location
1100 Clay St
Vicksburg, MS 39183-2912
Fax (601) 501-7831
Mailing address
115 North Dr
Vicksburg, MS 39180-9304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Clinical Social Worker | 1041C0700X | 19305 (LA) |
| Clinical Social Worker Primary | 1041C0700X | C8401 (MS) |
| Clinical Social Worker | 1041C0700X | 119974 (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…
Another provider at this address
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About NPI 1649879461
Joycelyn Green's National Provider Identifier is 1649879461, issued on Oct 22, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vicksburg, MS. The record was last updated on Oct 12, 2026.