Individual provider · Type 1 NPI

Tyree Jonta Green, LCSWA

Clinical Social Worker · Henderson, NC

NPI number 1891476776 Active

Practice location

943 W Andrews Ave Ste N
Henderson, NC 27536-2562

Fax (252) 598-0956

Mailing address

508 Hampton Ln
Youngsville, NC 27596-8743

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP019389 (NC)

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 1891476776

Tyree Jonta Green, LCSWA's National Provider Identifier is 1891476776, issued on Jul 25, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Henderson, NC. The record was last updated on Jul 26, 2023.