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

Peyton Mallory Green, LMSW

Individual provider Social Worker · NPI 1922828631

Peyton Mallory Green, LMSW is a Social Worker in Chubbuck, Idaho. Licensed in Idaho. Registered with an NPI since 2024.

Licensed in
ID
In the registry since
2024
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

210 W Burnside Ave Ste A
Chubbuck, ID 83202-4916
Phone: (208) 906-9823
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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 1761571 (ID)

Record details

NPI number1922828631
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedOctober 16, 2024
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024
Mailing address210 W Burnside Ave Ste A, Chubbuck, ID 83202-4916

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