Elyse Green, is a
Social Worker - Clinical based in Los Angeles, California. Elyse Green is licensed to practice in California (license number 121930) and her current practice location is
4401 Crenshaw Blvd Ste 300, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 290-8360.
NPI number for Elyse Green is 1417594953 and her current mailing address is 3031 S Vermont Ave, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417594953.
Healthcare Provider's Profile
| Full Name | Elyse Green |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 4401 Crenshaw Blvd Ste 300, Los Angeles, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1417594953
- Provider Enumeration Date: 12/03/2019
- Last Update Date: 05/19/2026
Medical Identifiers
Medical identifiers for Elyse Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417594953 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041S0200X | Social Worker - School | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 121930 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elyse Green is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Elyse Green,
3031 S Vermont Ave,
Los Angeles, CA 90007-3033
Ph: (323) 373-2400 | Elyse Green,
4401 Crenshaw Blvd Ste 300,
Los Angeles, CA 90043-1200
Ph: (323) 290-8360 |
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