KELLY MIKE GREEN (MSW, LCSW) – Clinical Social Worker, NPI 1316169915

KELLY MIKE GREEN (MSW, LCSW) is a healthcare provider. based in Price, Utah. specializing in Clinical Social Worker. They hold the professional credentials MSW, LCSW. They hold a License No. 130900-3501 (UT). The NPI Number for KELLY MIKE GREEN (MSW, LCSW) is 1316169915

Main info

Male
Sole Proprietor
Name
KELLY MIKE GREEN (MSW, LCSW)
NPI
1316169915
Phone
(435) 637-2991
Address
LDS FAMILY SERVICES
Enumeration Date
3 May 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for KELLY MIKE GREEN (MSW, LCSW)

  • LDS FAMILY SERVICES

    630 W PRICE RIVER DR.

    PRICE, UT 84501

    Phone: (435) 637-2991

    Type: Location

  • 100 North, Moab, Grand County, Utah, 84532, United States

    MOAB, UT 845322409

    Phone: (435) 259-5500

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84501)

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Frequently asked questions

Is KELLY MIKE GREEN (MSW, LCSW) listed with a National Provider Identifier?
Yes — KELLY MIKE GREEN (MSW, LCSW) has NPI 1316169915 on file in the registry.
Would KELLY MIKE GREEN (MSW, LCSW) appear as active to a payer?
You can treat KELLY MIKE GREEN (MSW, LCSW) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for KELLY MIKE GREEN (MSW, LCSW)?
At a glance, KELLY MIKE GREEN (MSW, LCSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Utah is KELLY MIKE GREEN (MSW, LCSW) registered?
Use Price, Utah as the headline location for KELLY MIKE GREEN (MSW, LCSW) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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