Koryn Green, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801116942 Issued in MI

Practice address

608 Wright Ave
Alma, MI 48801-1617

Phone

(989) 463-4971

NPI assigned

Aug 20, 2020

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

Other names 1

• Koryn Walden Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gratiot Integrated Health Network

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alma, MI
  • NPI 1710049242
  NPD

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1982216982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 WRIGHT AVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011617",
            "telephone_number": "989-463-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 WRIGHT AVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011617",
            "telephone_number": "989-463-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KORYN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801116942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KORYN",
            "last_name": "WALDEN",
            "credential": "LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gratiot Pharmacy LLC
• Gratiot-Isabella Nephrology PC
• Charles Gravitt, RPH
• Great Lakes Eye Institute
• Jessica Green
• Lyndsay Elise Greenfield, LMSW
• Aubree M Gregory, MA, CCC-SLP
• Angie Griffin, LMFT
• Dennis Griffin, ATC
• Jenna Alexis Grimm, PHARMD

• Clinical Social Worker in Alma, MI
• Providers in Alma, 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 Jan 30, 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.