Individual provider · Type 1 NPI

Katherine Ling-Gong Greene, PSY D

Clinical Social Worker · Phoenix, OR

NPI number 1790851582 Active

Practice location

471 Bear Creek Dr
Phoenix, OR 97535-9626

Fax (541) 535-6665

Mailing address

5165 Dark Hollow Rd
Medford, OR 97501-9698

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist 103G00000X1487 (OR)
Clinical Social Worker Primary 1041C0700XL2780 (OR)

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 1790851582

Katherine Ling-Gong Greene, PSY D's National Provider Identifier is 1790851582, issued on Nov 26, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phoenix, OR. The record was last updated on Sep 11, 2025.