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

Kimberly A Green, LCSW

Individual provider Clinical Social Worker · NPI 1598070351

Kimberly A Green, LCSW is a Clinical Social Worker in San Diego, California. Practices as a sole proprietor. Licensed in Georgia and Illinois.

Licensed in
GA, IL
In the registry since
2010
Specialties on file
2
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

1601 Broadway Unit 210
San Diego, CA 92101-5763
Phone: (404) 354-6152
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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 CSW004272 (GA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149.014066 (IL)

Record details

NPI number1598070351
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 17, 2010
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021

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