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MS. BETHANY R GREEN MSW
NPI 1417531997
Social Worker - Clinical in Lakeland, FL

Active since May 10, 2021
1016 MISSISSIPPI AVE UNIT 102, LAKELAND, FL 33803(863) 838-5097 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Bethany R Green Msw NPPES

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

MS. BETHANY R GREEN MSW (NPI 1417531997) is an individual clinical provider in Lakeland, Florida and active in the NPI registry since May 2021. She maintains a secondary practice location in Winter Haven.

NPPES Registry Identity

NPI1417531997
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. BETHANY R GREENCredential: MSW
Location Address1016 MISSISSIPPI AVE UNIT 102Lakeland, FL 33803-1378
Mailing Address1016 Mississippi Ave Unit 102Lakeland, FL 33803-1378 · (863) 838-5097
Phone(863) 838-5097
Sole ProprietorNo
Enumeration DateMay 10, 2021
NPPES CertifiedMay 10, 2021
✔ NPI 1417531997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1016 MISSISSIPPI AVE UNIT 102, Lakeland, FL 33803
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Secondary Practice Location 1

Location 14100 Spirit Lake Rd Ste 4Winter Haven, FL 33880-5081 · Phone (863) 800-0758

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 Bethany Green's NPI number?

The NPI number for Bethany Green is 1417531997. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Where is Bethany Green located?

Bethany Green practices at 1016 Mississippi Ave Unit 102, Lakeland, FL 33803. The listed phone number is (863) 838-5097.

What is Bethany Green's specialty?

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

When was this NPI record last updated?

The NPPES record for Bethany Green was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.