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

Individual provider Clinical Social Worker · NPI 1316169915

Kelly Mike Green, MSW, LCSW is a Clinical Social Worker in Price, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2007
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 Partly verified

Some contact details are missing from the federal record.

Lds Family Services 630 W Price River Dr
Price, UT 84501
Phone: (435) 637-2991
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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 130900-3501 (UT)

Record details

NPI number1316169915
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LCSW
Sole proprietorYes
NPI enumeratedMay 3, 2007
Last updated in NPPESJuly 8, 2007

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