MYRANDA SU GREEN LLMSW
NPI 1497312904
Social Worker - Clinical in Grand Rapids, MI

Active since May 21, 2019
385 LEONARD ST NE, GRAND RAPIDS, MI 49503(616) 591-4891 Get Directions Write a Review

NPPES record last updated: May 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Myranda Su Green Llmsw NPPES

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

MYRANDA SU GREEN LLMSW (NPI 1497312904) is an individual clinical provider in Grand Rapids, Michigan and active in the NPI registry since May 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1497312904
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMYRANDA SU GREENCredential: LLMSW
Location Address385 LEONARD ST NEGrand Rapids, MI 49503-1129
Mailing Address385 Leonard St NeGrand Rapids, MI 49503-1129 · (616) 591-4891
Sole ProprietorNo
Enumeration DateMay 21, 2019
NPI 1497312904 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.
385 LEONARD ST NE, Grand Rapids, MI 49503

Secondary Practice Locations 2

Location 1799 Hombach StSaint Ignace, MI 49781-1735 · Phone (616) 591-4891
Location 2160 Manley StHolland, MI 49424-2110 · Phone (616) 591-4891

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.

Social Worker (Clinical)
385 LEONARD ST NE
GRAND RAPIDS, MI 49503
Case Manager/Care Coordinator
385 LEONARD ST NE
GRAND RAPIDS, MI 49503
Registered Nurse (Psychiatric/Mental Health, Adult)
385 LEONARD ST NE
GRAND RAPIDS, MI 49503
Case Manager/Care Coordinator
385 LEONARD ST NE
GRAND RAPIDS, MI 49503
Case Manager/Care Coordinator
385 LEONARD ST NE
GRAND RAPIDS, MI 49503
Social Worker
385 LEONARD ST NE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
385 LEONARD ST NE
GRAND RAPIDS, MI 49503
Psychiatric Residential Treatment Facility
385 LEONARD ST NE
GRAND RAPIDS, MI 49503

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 Myranda Green's NPI number?

The NPI number for Myranda Green is 1497312904. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Where is Myranda Green located?

Myranda Green practices at 385 Leonard St NE, Grand Rapids, MI 49503. The listed phone number is (616) 591-4891.

What is Myranda 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 Myranda Green was last updated on May 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.