Individual provider · Type 1 NPI

Kerry Lynn Green

Clinical Social Worker · Fort Lauderdale, FL

NPI number 1992968770 Active

Practice location

400 SW 1st Ave Apt 906
Fort Lauderdale, FL 33301-3487

Call (908) 642-3644 Map

Mailing address

400 SW 1st Ave Apt 2608
Fort Lauderdale, FL 33301-3496

Other practice locations

150 E 45th St, Room 224, New York, NY 10017-3115 · (908) 642-3644
1825 NW 167th St Ste 102, Miami Gardens, FL 33056-4838 · (305) 474-1753

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker	1041C0700X	13333 (FL)
Clinical Social Worker	1041C0700X	SW13333 (FL)
Clinical Social Worker	1041C0700X	085573 (NY)
Clinical Social Worker Primary	1041C0700X	083504 (NY)

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 1992968770

Kerry Lynn Green's National Provider Identifier is 1992968770, issued on Jul 2, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Lauderdale, FL. The record was last updated on May 3, 2023.