Individual provider · Type 1 NPI

Kelley Lorraine Green, MSW, LICSW

Clinical Social Worker · Lynnwood, WA

NPI number 1962074088 Active

Practice location

19116 33rd Ave W
Lynnwood, WA 98036-4706

Call (425) 712-7900 Map

Mailing address

1100 9th Ave, M4-PFS
Seattle, WA 98101-7026

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW60619498 (WA)

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 1962074088

Kelley Lorraine Green, MSW, LICSW's National Provider Identifier is 1962074088, issued on Jul 16, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lynnwood, WA. The record was last updated on Aug 20, 2021.