Individual provider · Type 1 NPI
Melynda Shavonne Green, LMSW
Clinical Social Worker · Detroit, MI
Practice location
16705 Plainview Ave
Detroit, MI 48219-3304
Mailing address
16862 Huntington Rd
Detroit, MI 48219-4053
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 6802087327 (MI) |
| Clinical Social Worker Primary | 1041C0700X | 6801096718 (MI) |
| Social Worker | 104100000X | 6801096718 (MI) |
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 1821409152
Melynda Shavonne Green, LMSW's National Provider Identifier is 1821409152, issued on May 8, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Aug 12, 2025.