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

Mr. Jacques Dewayne Green, LMSW

Individual provider Clinical Social Worker · NPI 1841482791

Mr. Jacques Dewayne Green, LMSW is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 2007, 19 years ago. Practices with Counseling Center of West Michigan LLC, a 151-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
19
Licensed in
MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

359 Division Ave S
Grand Rapids, MI 49503-4537
Phone: (616) 685-3800
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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 6801089203 (MI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence C-03173 (MI)

Record details

NPI number1841482791
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorYes
NPI enumeratedAugust 15, 2007
Last updated in NPPESMay 3, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Counseling Center Of West Michigan Llc — 151 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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