Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TANYA LAURETTE GREEN MSW
NPI 1689632804
Social Worker - Clinical in Ft Wayne, IN

Active since May 04, 2006
310 E DUPONT RD, FT WAYNE, IN 46825(260) 490-8110(260) 490-7707 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tanya Laurette Green Msw NPPES

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

TANYA LAURETTE GREEN MSW (NPI 1689632804) is an individual clinical provider in Ft Wayne, Indiana, licensed in Indiana (34005094A) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1689632804
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTANYA LAURETTE GREENCredential: MSW
Location Address310 E DUPONT RDFt Wayne, IN 46825-2048
Mailing Address310 E Dupont RdFt Wayne, IN 46825-2048 · (260) 490-8110 · Fax (260) 490-7707
Fax(260) 490-7707
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1689632804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in IN · 34005094A Licensed in OK · 1531
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.
310 E DUPONT RD, Ft Wayne, IN 46825

Other Providers at the Same Location NPPES 8

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

Counselor (Mental Health)
310 E DUPONT RD
FORT WAYNE, IN 46825
Marriage & Family Therapist
310 E DUPONT RD, SUITE 2
FORT WAYNE, IN 46825
Psychiatry & Neurology (Psychiatry)
310 E DUPONT RD, SUITE 2
FORT WAYNE, IN 46825
Substance Abuse Rehabilitation Facility
310 E DUPONT RD
FORT WAYNE, IN 46825
Psychiatry & Neurology (Psychiatry)
310 E DUPONT RD, SUITE 2
FORT WAYNE, IN 46825
Counselor (Mental Health)
310 E DUPONT RD
FORT WAYNE, IN 46825
Nurse Practitioner (Family)
310 E DUPONT RD
FORT WAYNE, IN 46825
Nurse Practitioner (Family)
310 E DUPONT RD
FORT WAYNE, IN 46825

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 Tanya Green's NPI number?

The NPI number for Tanya Green is 1689632804. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Tanya Green located?

Tanya Green practices at 310 E Dupont Rd, Ft Wayne, IN 46825. The listed phone number is (260) 490-8110.

What is Tanya 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 Tanya Green was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.