Ms Kelly J Green, LSW is a
Social Worker based in Cleveland, Ohio. Ms Kelly J Green is licensed to practice in Ohio (license number S.2309975) and her current practice location is
4115 Bridge Ave, Cleveland, Ohio. She can be reached at her office (for appointments etc.) via phone at
(216) 631-5800.
NPI number for Ms Kelly J Green is 1770241309 and her current mailing address is 4819 Albertly Ave, Parma, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770241309.
Healthcare Provider's Profile
Full Name | Ms Kelly J Green |
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Gender | Female |
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Speciality | Social Worker |
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Location | 4115 Bridge Ave, Cleveland, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770241309
- Provider Enumeration Date: 12/01/2021
- Last Update Date: 02/23/2024
Medical Identifiers
Medical identifiers for Ms Kelly J Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770241309 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.184959 (Ohio) | Secondary |
175T00000X | Peer Specialist | 0002478 (Ohio) | Secondary |
104100000X | Social Worker | S.2309975 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kelly J Green is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Kelly J Green, LSW 4819 Albertly Ave, Parma, OH 44134-3323 Ph: (440) 822-5305 | Ms Kelly J Green, LSW 4115 Bridge Ave, Cleveland, OH 44113-3304 Ph: (216) 631-5800 |
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