Melynda Shavonne Green, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801096718 Issued in MI

Practice address

16705 Plainview Ave
Detroit, MI 48219-3304

Phone

(313) 461-8601

NPI assigned

May 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Melynda Shavonne & Co LLC

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1255221339
  NPD Authorized official
• Judson Center, Inc.

  • Community/Behavioral Health Agency
  • Royal Oak, MI
  • NPI 1033264890
  NPD
• Judson Center, Inc.

  • Family Medicine Physician
  • Warren, MI
  • NPI 1396217600
  NPD
• Lyon Counseling Center

  • Adult Mental Health Clinic/Center
  • South Lyon, MI
  • NPI 1457983355
  NPD (past)

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1821409152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16862 HUNTINGTON RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482194053",
            "telephone_number": "313-461-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16705 PLAINVIEW AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193304",
            "telephone_number": "313-461-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MELYNDA",
        "middle_name": "SHAVONNE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2025-08-12",
        "certification_date": "2025-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802087327",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096718",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801096718",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia J. Green
• Lynne Green, LLMSW
• Maria Ashley Green, DO
• Mary Green
• Mary Margaret Green
• Morgan Green, M.D.
• Nandi Green
• Santana Manuel Green
• Sherry Green
• Simona R Green, LLPC

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.