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Ms. Kelly J Green, LSW
Social Worker in Cleveland, Ohio
NPI 1770241309

Kelly J Green is a Social Worker based in Parma, OH. Kelly J Green practices in Cleveland, OH and has the professional credentials of LSW. The NPI Number for Kelly J Green is 1770241309 and holds a License No. CDCA.184959 (Ohio).

The current practice location address for Kelly J Green is 4115 Bridge Ave, Cleveland, OH and can be reached out via phone at 216-631-5800 and via fax at 216-631-4595.

Location: 4115 Bridge Ave, Cleveland, OH, 44134-3323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770241309
Provider Name
Kelly J Green
Credential
LSW
Provider Entity Type
Individual
Gender
Female
Address
4115 Bridge Ave, Cleveland, OH, 44134-3323
Phone Number
216-631-5800
Fax Number
216-631-4595
Provider Enumeration Date
12/01/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4115 Bridge Ave
City
Cleveland
State
Ohio
Zip
44113-3304
Phone Number
216-631-5800
Fax Number
216-631-4595
person
Provider Business Mailing Address Details
Address
4115 Bridge Ave
City
Cleveland
State
Ohio
Zip
44113-3304
Phone Number
216-631-5800
Fax Number
216-631-4595
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
S.2309975 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
0002478 (Ohio)
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CDCA.184959 (Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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