Lisa M Green, LGSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17398 Issued in MD

Practice address

8640 Ridgelys Choice Dr
Baltimore, MD 21236-3029

Phone

(410) 268-8191

NPI assigned

Mar 2, 2012

Reactivated

Sep 25, 2026

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1366716631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MORGAN ELLIS WAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212061445",
            "telephone_number": "443-527-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8640 RIDGELYS CHOICE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212363029",
            "telephone_number": "410-268-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-02",
        "last_updated": "2026-09-25",
        "deactivation_date": "2025-07-26",
        "reactivation_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kemar Green Green, DO
• Keyonia Green
• Laterra Green
• Laura Katharine Green, M.D.
• Lionell Green
• Lisa Michelle Green
• Malka Green
• Mayona Crisanta Catap Green, CRNP
• Melva Green, M.D.
• Michael MB Green, MD

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.