IndividualActive
Ellyssa Green, MSW, LCSW
NPI 1811532328 · Counselor · South Bend, IN
Ellyssa Green, MSW, LCSW is a Counselor provider in South Bend, IN (NPI 1811532328).
Provider details
- NPI number
- 1811532328
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- MSW, LCSW
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
415 E Madison St
South Bend, IN 46617-2322
Phone: (574) 533-1234
Fax: (574) 537-2652
Street-level locationGet directions
Mailing address
415 E Madison St
South Bend, IN 46617-2322
Registry dates
- Enumerated
- 2019-11-08
- Last updated
- 2023-09-27
- Certified
- 2023-09-27
Frequently asked questions
- What is Ellyssa Green's NPI number?
- Ellyssa Green's National Provider Identifier (NPI) is 1811532328, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ellyssa Green's specialty?
- Ellyssa Green is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Ellyssa Green located?
- Ellyssa Green's practice location on file with NPPES is 415 E Madison St, South Bend, IN 46617-2322.
- What is Ellyssa Green's phone number?
- The practice phone number listed in the NPPES registry for Ellyssa Green is (574) 533-1234.
- Is Ellyssa Green's NPI active?
- Yes — Ellyssa Green's NPI (1811532328) is active in the NPPES registry as of the last update on 2023-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.