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KENISHA GREEN
NPI 1023903572
Social Worker - Clinical in Chicago, IL

Active since June 12, 2025PECOS Enrolled
710 S PAULINA ST STE 438, CHICAGO, IL 60612(312) 563-9196 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 26, 2026, Jun 12, 2025 (2 updates tracked since 2025).

About Kenisha Green NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENISHA GREEN (NPI 1023903572) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149031840) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1023903572
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKENISHA GREEN
Location Address710 S PAULINA ST STE 438Chicago, IL 60612-3808
Mailing Address1053 W 108th PlChicago, IL 60643-3724 · (773) 208-8195
Phone(312) 563-9196
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 12, 2025
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1023903572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149031840
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X
710 S PAULINA ST STE 438, Chicago, IL 60612
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenisha Green is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153892518
PECOS Enrollment IDI20260605002730
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE BAILEY
Social Worker (Clinical)
710 S PAULINA ST STE 438
CHICAGO, IL 60612
Cook County (312) 942-1842
ANABELEN DIAZ LCSW
Social Worker (Clinical)
710 S PAULINA ST STE 438
CHICAGO, IL 60612
Cook County (312) 563-0818
JADA JOHNSON
Social Worker
710 S PAULINA ST STE 438
CHICAGO, IL 60612
Cook County (312) 942-1957
MALEEK RATLIFF
Social Worker (Clinical)
710 S PAULINA ST STE 438
CHICAGO, IL 60612
Cook County (815) 768-0422
K. TAJHI BUTTS-CLAYBREN LCSW
Social Worker (Clinical)
710 S PAULINA ST STE 438
CHICAGO, IL 60612
Cook County (312) 942-3892
SONIA SERRANO LCSW
Social Worker (Clinical)
710 S PAULINA ST STE 438
CHICAGO, IL 60612
Cook County (312) 563-4172
MR. INNOCENT CHIJIOKE OROKOH
Social Worker
710 S PAULINA ST STE 438
CHICAGO, IL 60612
Cook County (312) 942-3826
BRIANNA BRACY
Social Worker
710 S PAULINA ST STE 438
CHICAGO, IL 60612
Cook County (312) 563-7396

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenisha Green's NPI number?

The NPI number for Kenisha Green is 1023903572. It was assigned to this individual provider in the NPPES registry on June 12, 2025.

Where is Kenisha Green located?

Kenisha Green practices at 710 S Paulina St Ste 438, Chicago, IL 60612. The listed phone number is (312) 563-9196.

What is Kenisha Green's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kenisha Green enrolled in Medicare?

Yes. Kenisha Green is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenisha Green was last updated on May 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.