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

Ellyssa Green, MSW, LCSW

Individual provider Counselor · NPI 1811532328

Ellyssa Green, MSW, LCSW is a Counselor in South Bend, Indiana. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

415 E Madison St
South Bend, IN 46617-2322
Phone: (574) 533-1234
Fax: (574) 537-2652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1811532328
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedNovember 8, 2019
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023

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