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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY MIKE GREEN, MSW, LCSW

Active Sole Proprietor

KELLY MIKE GREEN, MSW, LCSW is a Clinical Social Worker healthcare provider located in PRICE, Utah. NPI 1316169915 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PRICE, UT

Registration Details

NPI Number
1316169915
Provider Type
Individual
Gender
Male
NPI Issued
May 3, 2007 (19.244116144146 yrs)
Last Updated
Jul 8, 2007
License
130900-3501 (UT)
Sole Proprietor
Yes

Practice Information

Address
LDS FAMILY SERVICES
630 W PRICE RIVER DR.
PRICE, UT, 84501
Browse UT providers · Browse ZIP 84501
Phone
4356372991
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in PRICE, UT

Name Credential NPI
RICHARD MAINORD LCSW 1245294370
ROBIN POTOCHNICK RN LCSW 1356305213
ANNE STACY LCSW 1063476927
KAREN DOLAN LCSW 1639134000
PATRICK WILSON CSW 1780649871
ANN L PRAZZA LCSW 1023075801
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.