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

Kelley Lorraine Green, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1962074088

Kelley Lorraine Green, MSW, LICSW is a Clinical Social Worker in Lynnwood, Washington. Qualified in 2010, 16 years ago. Practices with Virginia Mason Medical Center, a 867-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
16
Licensed in
WA
In the registry since
2021
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

19116 33rd Ave W
Lynnwood, WA 98036-4706
Phone: (425) 712-7900
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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 LW60619498 (WA)

Record details

NPI number1962074088
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedJuly 16, 2021
Last updated in NPPESAugust 20, 2021
Certification dateAugust 20, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Virginia Mason Medical Center — 867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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