Individual provider · Type 1 NPI

Kesha P. Green, LCSW

Clinical Social Worker · Douglasville, GA

NPI number 1700760766 Active

Practice location

3728 Renfroe Ave
Douglasville, GA 30135-7736

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW009378 (GA)

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 1700760766

Kesha P. Green, LCSW's National Provider Identifier is 1700760766, issued on Aug 4, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Douglasville, GA. The record was last updated on Aug 4, 2025.