Individual provider · Type 1 NPI
Lacy Dawn Green
Clinical Social Worker · Gainesville, MO
Practice location
87 Elm St
Gainesville, MO 65655-7131
Mailing address
PO Box 1359
Ava, MO 65608-1359
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 2025037160 (MO) |
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 1689554347
Lacy Dawn Green's National Provider Identifier is 1689554347, issued on Sep 4, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gainesville, MO. The record was last updated on Sep 4, 2025.