Ashley Marallo Green, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60869735 Issued in WA

Practice address

416 Nisqually Cut Off Rd SE
Olympia, WA 98513-9649

Phone

(406) 241-1919

NPI assigned

Jun 20, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1134568496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 NISQUALLY CUT OFF RD SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985139649",
            "telephone_number": "406-241-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 NISQUALLY CUT OFF RD SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985139649",
            "telephone_number": "406-241-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARALLO GREEN",
        "first_name": "ASHLEY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60869735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikayla Mae Mannis, LPN
• Dominique L Manns, LMHC
• Maria E Manson, MA
• Mahtab Mansour, DDS
• Audrey Mantanona, PHARMD
• Rebecca March, DO
• Tasha Yvonne Marenbach, M.D.
• Ashley J Mares
• Margaret D. Zimmerman Arnp,PLLC
• Marian Gonzales Counseling LLC

• Clinical Social Worker in Olympia, WA
• Providers in Olympia, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.