MAKIBA LATISE GREEN


Address: 237 W Mill St, San Bernardino, CA 92408-1403
Phone: 9095397566

MAKIBA LATISE GREEN (NPI# 1013418425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013418425
Entity Type Individual
Full Name MAKIBA LATISE GREEN
Practice Address 237 W Mill St
San Bernardino
CA 92408-1403
Practice Telephone 9095397566
Mailing Telephone 9095397566
Enumeration Date 2018-02-22
Last Update Date 2019-01-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 237 W MILL ST
City SAN BERNARDINO
State CA
Zip Code 92408-1403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790840148 Sherry Lynn Neher Social Worker 237 W Mill St, San Bernardino, CA 92408-1403 2006-12-26
1558710061 Annmarie Monroe Scott Counselor 237 W Mill St, San Bernardino, CA 92408-1403 2016-06-06
1417311713 Aimee Marie Enriquez Counselor 237 W Mill St, San Bernardino, CA 92408-1403 2016-04-12
1073979647 Doreen Ann Cisneros Behavioral Analyst 237 W Mill St, San Bernardino, CA 92408-1403 2016-01-12
1942687298 Rojeania Godsey-erb Marriage & Family Therapist 237 W Mill St, San Bernardino, CA 92408-1403 2015-05-06
1598187155 Shelby Marie Colbert Marriage & Family Therapist 237 W Mill St, San Bernardino, CA 92408-1403 2014-01-15
1942639711 Carolina Quiroz Counselor 237 W Mill St, San Bernardino, CA 92408-1403 2013-11-02
1215376884 Mario Angel Rocha Marriage & Family Therapist 237 W Mill St, San Bernardino, CA 92408-1403 2013-06-17
1235488628 Albert Alcaraz Jr. Rehabilitation Practitioner 237 W Mill St, San Bernardino, CA 92408-1403 2012-08-31
1407103302 Harry Wendell Poole Counselor 237 W Mill St, San Bernardino, CA 92408-1403 2012-08-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073124681 Valeria Armentilla Cecena Student in an Organized Health Care Education/Training Program 1950 Sunwest Ln., San Bernardino, CA 92408 2020-08-17
1588272066 Horizon Therapy Services Physical Therapist 418 East Vanderbilt, San Bernardino, CA 92408 2020-07-21
1821627639 Bl Anderson Medical Corporation Emergency Medicine 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 2020-04-03
1922648104 Infinite Hope Hospice Corp Hospice Care, Community Based 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 2020-01-15
1689210775 Inland Empire Community Outreach Center Counselor 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 2019-11-23
1992347801 Care Marriage and Family Therapists, Inc. Marriage & Family Therapist 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 2019-10-11
1366084360 Theraville Counseling Services, A Licensed Clinical Social Worker Corp Social Worker 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 2019-10-10
1548730419 Adriana Alcaraz Behavior Technician 473 E Carnegie, Ste 200, San Bernardino, CA 92408 2018-12-04
1811467889 Xavier J Molina-williams Behavior Technician 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 2018-12-03
1780153148 Gillian Washington Behavior Technician 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 2018-11-15
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154935492 Julian Ellison Case Manager/Care Coordinator 303 E Vandebilt Way, San Bernardino, CA 92415-0001 2020-09-03
1639789233 Luis Enrique Macias Case Manager/Care Coordinator 26967 Beaumont Ave., Redlands Ca 92373, San Bernardino, CA 92407 2020-08-07
1619537016 Shaunice Renee Cox Case Manager/Care Coordinator 1604 Pennsylvania Street, San Bernardino, CA 92411 2019-06-18
1528523065 Leslie Gonzalez Case Manager/Care Coordinator 1982 W 18th St, San Bernardino, CA 92411-1059 2019-02-08
1326520057 Cynthia Gutierrez Case Manager/Care Coordinator 237 E. Mill St., San Bernardino, CA 92408 2018-08-29
1457831398 Omar Torres Case Manager/Care Coordinator 574 N Arrowhead Ave., San Bernardino, CA 92401 2018-08-20
1558841197 Yvette Hinton Case Manager/Care Coordinator 431 Mackay Drive, San Bernardino, CA 92408 2018-08-14
1326557026 Ruben Grajeda Case Manager/Care Coordinator 3561 N F St, San Bernardino, CA 92405-2120 2017-09-25
1225553472 Nicole Dela Cruz Case Manager/Care Coordinator 720 E Gilbert Street, San Bernardino, CA 92415-0001 2017-08-09
1104354539 Llesenia Aleman Case Manager/Care Coordinator 597 North Arrowhead Ave, San Bernardino, CA 92401 2017-05-30
Find all providers in SAN BERNARDINO

Competitor

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City SAN BERNARDINO
Zip Code 92408

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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