KELLY ALAINE GREEN LMSW - NPI 1497369946 - Social Worker in Grand Rapids, MI

Q: What is Kelly Green's NPI number?

The NPI number for Kelly Green is 1497369946. It was assigned to this individual provider in the NPPES registry on September 2, 2020.

Q: What is Kelly Green's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Green was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

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About Kelly Alaine Green Lmsw NPPES

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

KELLY ALAINE GREEN LMSW (NPI 1497369946) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801096398) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1497369946

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKELLY ALAINE GREENCredential: LMSW

Location Address4150 KALAMAZOO AVE SEGrand Rapids, MI 49508-3605

Mailing Address4150 Kalamazoo Ave SeGrand Rapids, MI 49508-3605 · (616) 913-2034 · Fax (616) 913-2037

Phone(616) 913-2034

Fax(616) 913-2037

Sole ProprietorNo

Enumeration DateSeptember 2, 2020

Last NPPES UpdateMarch 10, 20262 updates tracked since enumeration

NPPES CertifiedMarch 10, 2026

✔ NPI 1497369946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6801096398

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.

4150 KALAMAZOO AVE SE, Grand Rapids, MI 49508

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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.

VERONICA BEATRICE HORSLEY-PETTIGREW SOCIAL WORKER

Social Worker (Clinical)