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

Pamela Green

Individual provider Clinical Social Worker · NPI 1477978641

Pamela Green is a Clinical Social Worker in Surprise, Arizona. Qualified in 2011, 15 years ago. Practices with Shoreline Counseling LLC, a 25-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
15
Licensed in
AZ
In the registry since
2014
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Practice location Address checks out

15439 W Lea Ln
Surprise, AZ 85374-4806
Phone: (623) 556-3805
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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 LCSW-14074 (AZ)

Record details

NPI number1477978641
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 25, 2014
Last updated in NPPESFebruary 25, 2014
Mailing address15439 W Lea Ln, Surprise, AZ 85374-4806

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 Shoreline Counseling Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Surprise