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

Mr. Kevan Greene, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1861731002

Mr. Kevan Greene, MSW, LCSW is a Clinical Social Worker in Grand Forks, North Dakota. Qualified in 2011, 15 years ago. Practices with Stage of Change Therapy PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
15
Licensed in
ND
In the registry since
2013
Specialties on file
2
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 Address checks out

860 S Columbia Rd
Grand Forks, ND 58201
Phone: (701) 780-6697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 4610 (ND)
Clinical Social Worker Taxonomy 1041C0700X · Licence 4610 (ND)

Record details

NPI number1861731002
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedFebruary 7, 2013
Last updated in NPPESNovember 4, 2021
Certification dateNovember 4, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Stage Of Change Therapy Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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