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MS. KESHA P GREEN LCSW
NPI 1700760766
Social Worker - Clinical in Douglasville, GA

Active since August 04, 2025PECOS Enrolled
3728 RENFROE AVE, DOUGLASVILLE, GA 30135(706) 332-0526 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Kesha P Green Lcsw NPPES

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

MS. KESHA P GREEN LCSW (NPI 1700760766) is an individual clinical provider in Douglasville, Georgia, licensed in Georgia (CSW009378) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1700760766
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KESHA P GREENCredential: LCSW
Location Address3728 RENFROE AVEDouglasville, GA 30135-7736
Mailing Address3728 Renfroe AveDouglasville, GA 30135-7736 · (706) 332-0526
Phone(706) 332-0526
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
✔ NPI 1700760766 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 GA · CSW009378
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.
3728 RENFROE AVE, Douglasville, GA 30135
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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)

Ms. Kesha P Green Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577062108
PECOS Enrollment IDI20250819004725
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 30135 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 $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

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 Kesha Green's NPI number?

The NPI number for Kesha Green is 1700760766. It was assigned to this individual provider in the NPPES registry on August 4, 2025.

Where is Kesha Green located?

Kesha Green practices at 3728 Renfroe Ave, Douglasville, GA 30135. The listed phone number is (706) 332-0526.

What is Kesha Green's specialty?

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

Is Kesha Green enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kesha Green was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.