MRS. KIM KATHLEEN GREEN (NPI# 1083627392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083627392 |
| Entity Type | Individual |
| Full Name | MRS. KIM KATHLEEN GREEN |
| Credential | LMSW |
| Practice Address |
787 Market Street Hancock MI 49930 |
| Mailing Address |
325 East 'h' Street Iron Mountain MI 49801 |
| Practice Telephone | 9064827762 |
| Practice Fax Number | 9064827893 |
| Mailing Telephone | 9067743300 |
| Mailing Fax Number | 9067793148 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2012-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801086269 | MI | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
6802079325 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720232317 | Kim Green | Registered Nurse | 1654 Banbury Dr, Fayetteville, NC 28304-2506 | 2008-11-09 |
| 1952757122 | Kim Green | Home Health Aide | 1144 Bloomville Rd, Manning, SC 29102-6053 | 2016-05-06 |
| 1689060196 | Kim Green | Registered Nurse | 1290 S Potomac St, Aurora, CO 80012-4524 | 2015-04-10 |
| 1003177973 | Kim L Green | Technician | 6330 Mcleod Dr Ste 3, Las Vegas, NV 89120-4431 | 2012-06-06 |
| Street Address |
787 MARKET STREET |
| City | HANCOCK |
| State | MI |
| Zip Code | 49930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437627643 | Karen Byrnes | Registered Nurse | Hancock Va Cboc, 787 Market St. Suite 9, Hancock, MI 49930 | 2018-11-06 |
| 1881117562 | Angelica Monique Nunez | Specialist/Technologist | 601 Quincy St, Hancock, MI 49930 | 2017-07-25 |
| 1831581164 | Superior Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 20075 Third Street, Hancock, MI 49930 | 2015-02-24 |
| 1861703258 | Superior Smiles | Dentist | 1550 West Quincy St, Hancock, MI 49930 | 2010-06-30 |
| 1164633780 | Kathryn Mary Salmi | Counselor | 100 Quincy Street, Hancock, MI 49930 | 2007-05-25 |
| 1093828535 | Mary Katherine Van Camp | Social Worker | 787 Market St., Suites 9 & 10, Hancock, MI 49930 | 2006-08-17 |
| 1346257672 | James William Sarazin | Dentist | 528 Quincy Street, Hancock, MI 49930 | 2006-08-01 |
| 1114951829 | Patricia J Tikkanen | Social Worker | 200 Michigan St Ste 321, Hancock, MI 49930 | 2006-07-10 |
| 1487639829 | Thomas Collins | Social Worker | 920 Water Street, Hancock, MI 49930 | 2005-12-08 |
| 1417442898 | Concierge Dermatology & Skin Surgery Center | Dermatology | 500 Campus Dr, Hancock, MI 49930 | 2018-06-27 |
| Find all providers in zip 49930 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205171170 | Amanda Jo White | Social Worker | 207 Vivian St, Hancock, MI 49930-2132 | 2012-12-04 |
| 1215162722 | Michelle Lambert | Social Worker | 200 Michigan St, Ste 327, Hancock, MI 49930-1448 | 2009-05-28 |
| 1629221916 | Copper Island Behavioral Health | Social Worker | 810 Quincy St, Hancock, MI 49930-1903 | 2008-10-30 |
| 1619018330 | Nancy K Taglione | Social Worker | 1449 Anthony St, Hancock, MI 49930-1201 | 2007-02-08 |
| 1093828535 | Mary Katherine Van Camp | Social Worker | 787 Market St., Suites 9 & 10, Hancock, MI 49930 | 2006-08-17 |
| 1871570523 | Cindy J Wheeler | Social Worker | 900 Birch St, Hancock, MI 49930-1010 | 2005-12-23 |
| 1487639829 | Thomas Collins | Social Worker | 920 Water Street, Hancock, MI 49930 | 2005-12-08 |
| 1568017291 | Sarah Cheney | Social Worker | 200 Michigan St, Hancock, MI 49930-1447 | 2019-08-08 |
| 1720442551 | Colleen Nerney | Social Worker | 102 Main Street, Hancock, MA 01237 | 2016-04-07 |
| 1366821431 | Jayne Ann Fredrick | Social Worker | 500 Campus Dr, Hancock, MI 49930-1452 | 2015-05-22 |
| Find all providers in HANCOCK | ||||
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| 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.