IndividualActive
Shelly Green, MSW LICSW
NPI 1578590568 · Social Worker · Otsego, MN
Shelly Green, MSW LICSW is a Social Worker provider in Otsego, MN (NPI 1578590568).
Provider details
- NPI number
- 1578590568
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 16068 (MN)
Practice location
7757 Lamont Ave Ne
Otsego, MN 55301-4066
Phone: (612) 616-8401
Street-level locationGet directions
Mailing address
7757 Lamont Ave Ne
Otsego, MN 55301-4066
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2011-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.