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

Dewayne C Green

Individual provider Case Manager/Care Coordinator · NPI 1801395496

Dewayne C Green is a Mental Health Counselor in Elyria, Ohio. Qualified in 2009, 17 years ago. Works from 2 locations. Licensed in Ohio.

Years since qualifying
17
Licensed in
OH
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

41641 N Ridge Rd Ste B
Elyria, OH 44035-1264
Phone: (440) 324-7406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2737 Youngstown Rd Se, Warren, OH 44484-5002 — (330) 369-8022

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 141205 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1801395496
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 8, 2018
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025
Mailing address19333 Van Aken Blvd, Shaker Hts, OH 44122-3579

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Elyria