Individual provider · Type 1 NPI

Breyauna Jay-Chelle Green, LMSW

Clinical Social Worker · Moncks Corner, SC

NPI number 1710839451 Active

Practice location

403 Stony Landing Rd
Moncks Corner, SC 29461-3967

Mailing address

20 Virginia Dr
Woodruff, SC 29388-8919

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X17937 (SC)

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 1710839451

Breyauna Jay-Chelle Green, LMSW's National Provider Identifier is 1710839451, issued on Feb 13, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Moncks Corner, SC. The record was last updated on Feb 13, 2026.