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

MS. Kelly J Green, LSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1770241309

MS. Kelly J Green, LSW is an Addiction (Substance Use Disorder) Counselor in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2021.

Licensed in
OH
In the registry since
2021
Specialties on file
3
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

See every abbreviation used in this directory →

Practice location Address checks out

4115 Bridge Ave
Cleveland, OH 44113-3304
Phone: (216) 631-5800
Fax: (216) 631-4595
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence S.2309975 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CDCA.184959 (OH)
Peer Specialist Taxonomy 175T00000X · Licence 0002478 (OH)

Record details

NPI number1770241309
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedDecember 1, 2021
Last updated in NPPESFebruary 23, 2024
Certification dateFebruary 23, 2024

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