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Contact Information

ELYSE GREEN
4401 CRENSHAW BLVD STE 300
LOS ANGELES, CA90043-1200
 Phone: 323-290-8360
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Case Manager/Care Coordinator

171M00000X
 

Mental Health

101YM0800X
 

School

1041S0200X
Indicates primary specialty

NPI Profile & details for ELYSE GREEN · (Female)

NPI Number 1417594953
Status Active
Credentials
Entity Individual
Enumeration date 12/03/2019
Last updated 05/19/2026 - About 3 weeks ago
Sole proprietor 1 No
Identifiers
  • CA License # 121930
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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