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

Jonathan Edward Green, LCSW

Individual provider Clinical Social Worker · NPI 1477481182

Jonathan Edward Green, LCSW is a Clinical Social Worker in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2026
What do these letters mean?
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

535 W 77th Street North Dr
Indianapolis, IN 46260-3502
Phone: (773) 203-8651
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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 34012888A (IN)

Record details

NPI number1477481182
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 12, 2026
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

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