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

Individual provider Clinical Social Worker · NPI 1386062784

Emma Green, LISW is a Clinical Social Worker in Fort Dodge, Iowa. Qualified in 2017, 9 years ago. Practices with North Central Iowa Mental Health Center, Inc, a 16-clinician group and offers telehealth. Licensed in Iowa.

Years since qualifying
9
Licensed in
IA
In the registry since
2014
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

720 Kenyon Rd
Fort Dodge, IA 50501
Phone: (800) 482-8305
Fax: (515) 573-7898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 086203 (IA)

Record details

NPI number1386062784
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedApril 2, 2014
Last updated in NPPESJuly 21, 2020
Certification dateJuly 21, 2020
Mailing address720 Kenyon Rd, Fort Dodge, IA 50501-5759

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice North Central Iowa Mental Health Center, Inc — 16 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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