Individual provider · Type 1 NPI

Jacques Dewayne Green, LMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1841482791 Active

Practice location

359 Division Ave S
Grand Rapids, MI 49503-4537

Mailing address

129 Dogwood Dr NE
Rockford, MI 49341-7396

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801089203 (MI)
Addiction (Substance Use Disorder) Counselor 101YA0400XC-03173 (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 1841482791

Jacques Dewayne Green, LMSW's National Provider Identifier is 1841482791, issued on Aug 15, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on May 3, 2017.