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

Tyree Jonta Green, LCSWA

Individual provider Clinical Social Worker · NPI 1891476776

Tyree Jonta Green, LCSWA is a Clinical Social Worker in Henderson, North Carolina. Licensed in North Carolina. Registered with an NPI since 2023.

Licensed in
NC
In the registry since
2023

Practice location Address checks out

943 W Andrews Ave Ste N
Henderson, NC 27536-2562
Phone: (252) 598-2462
Fax: (252) 598-0956
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P019389 (NC)

Record details

NPI number1891476776
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSWA
Sole proprietorNo
NPI enumeratedJuly 25, 2023
Last updated in NPPESJuly 26, 2023
Certification dateJuly 26, 2023

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