Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carrie Green

Individual provider Mental Health Counselor · NPI 1417785346

Carrie Green is a Clinical Social Worker in Atlanta, Georgia. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in Alabama, Georgia and Kansas.

Years since qualifying
8
Licensed in
AL, GA, KS
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

2260 Fairburn Rd SW #311672
Atlanta, GA 30331-9998
Phone: (470) 795-0245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CSW009095 (GA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 06610 (KS)
Mental Health Counselor Taxonomy 101YM0800X · Licence 5915C (AL)

Record details

NPI number1417785346
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 23, 2024
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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