STEPHANIE RENEE GREEN


Address: 1246 Sumner St, Jacksonville, NC 28540-3473
Phone: 8017198028

STEPHANIE RENEE GREEN (NPI# 1205188224) 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) 1205188224
Entity Type Individual
Full Name STEPHANIE RENEE GREEN
Credential LCSW
Practice Address 1246 Sumner St
Jacksonville
NC 28540-3473
Practice Telephone 8017198028
Mailing Telephone 8017198028
Enumeration Date 2012-10-15
Last Update Date 2016-10-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 253J00000X Foster Care Agency Agencies

Other Providers STEPHANIE GREEN

NPI Name Taxonomy Address Enumeration
1558983700 Stephanie Lynn Green Registered Nurse 183 Marca Dr, Lucasville, OH 45648-9007 2020-05-11
1447766290 Stephanie Rae Green Speech-Language Pathologist 401 N 30th St, Mount Vernon, IL 62864-2355 2017-12-15
1366895328 Stephanie Green Counselor 554 N Main St Ste 104, South Boston, VA 24592-3283 2016-07-14
1275937443 Stephanie Green Speech-Language Pathologist 525 Hawthorn Cir, Frederick, CO 80530-6009 2014-10-17
1629334768 Stephanie E Green Licensed Practical Nurse 175 Fernwood Ave, Syracuse, NY 13205-1438 2012-04-03
1730415928 Stephanie Green Internal Medicine 54 Meadow St Fl 1, New Haven, CT 06519-1719 2009-10-23
1669665824 Stephanie Anne Green Pediatrics 488 Vanderbilt Pkwy, Dix Hills, NY 11746-5853 2007-08-21
1770666505 Stephanie D. Green Speech-Language Pathologist 7706 Abbotsinch Ct, Charlotte, NC 28269-0779 2006-10-23
1942383310 Stephanie Karahalis Green Internal Medicine 45 Gerald Rd, Marblehead, MA 01945-2069 2006-10-21
1871109017 Stephanie Green Nurse Practitioner 14089 Abercorn St, Savannah, GA 31419-1966 2020-09-22

Office Location

Street Address 1246 SUMNER ST
City JACKSONVILLE
State NC
Zip Code 28540-3473

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467067785 Knox Counseling and Consulting, PC Case Management 513 New Bridge St-suite 500, Jacksonville, NC 28540 2020-09-14
1629696646 Mary Ann Caldwell Counselor 2496 Northwoods Dr., Jacksonville, NC 28540 2020-07-07
1639793748 Johnathon T Brewer Military Health Care Provider 100 White St, Jacksonville, NC 28540 2020-06-04
1043782899 Brice Rivra Military Health Care Provider Rr 612 Loop Road, Jacsksonvile, NC 28540 2018-12-18
1649768599 Alexander John Pybus Student in an Organized Health Care Education/Training Program White St Bldg As-100, Jacksonville, NC 28540 2018-04-26
1881198182 Orleiquis Guerra Military Health Care Provider Marine Corps Air Station New River Bldg As-100, Jacksonville, NC 28540 2018-03-21
1558864736 Andrew Louis Monroe General Practice As-100 White Street, Jacksonville, NC 28540 2018-03-14
1588183198 Citizen Community Transport, LLC Private Vehicle 220 Foxwood Ct., Jacksonville, NC 28540 2017-09-14
1558886242 Brandon Jay Smith Military Health Care Provider E Street Bldg G770, Camp Lejeune, NC 28540 2017-08-03
1174043244 Jason Waters Military Health Care Provider White St, Bldg As-100, Jacksonville, NC 28540 2017-06-21
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Taxonomy Information

Taxonomy Code 253J00000X
Grouping Agencies
Classification Foster Care Agency

Taxonomy Definition

A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598221533 Kacy Thompson Foster Care Agency 9639 Bembridge Mill Dr, Jacksonville, FL 32244-2495 2019-02-14
1194113332 Ikare Youth and Family Services, Inc. Foster Care Agency 2113 Betsy Dr, Jacksonville, FL 32210-2904 2014-12-22
1619374311 Aci Support Specialists, Inc. Foster Care Agency 2040 Wilmington Hwy, Suite A, Jacksonville, NC 28540-3121 2014-11-24
1568866705 Vanonda Fielder Foster Care Agency 14058 Summer Breeze Dr E, Jacksonville, FL 32218-8912 2014-10-17
1053585158 Abby Ruth Gribble Foster Care Agency 4315 Smugglers Way, Jacksonville, FL 32210-7309 2008-04-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629698303 Family Safety Program Foster Care Agency 117 John Crowe Hill Rd, Cherokee, NC 28719 2020-04-22
1205488517 Another Choice for Black Children, Inc. Foster Care Agency 3028 Beatties Ford Rd, Charlotte, NC 28216-4267 2019-07-16
1639640618 Agape Child Placement Agency Inc. Foster Care Agency 717 E Park Dr, Monroe, NC 28112-5045 2018-12-17
1023401494 Aci Support Specialists Foster Care Agency 115 Eastbrook Dr, Greenville, NC 27858-4216 2015-03-10
1174920870 Aci Support Specialists, Inc. Foster Care Agency 1723 S Glenburnie Rd, New Bern, NC 28562-5208 2014-11-24
1962807842 Agape of Nc, Inc. (asso. for Guidance, Aid, Placement & Empathy of Nc. Foster Care Agency 2012 South Main 500d, Wake Forest, NC 27587-5008 2014-11-04
1942605332 The Bair Foundation-iaft-108 Executive Park Foster Care Agency 108 Executive Park, Asheville, NC 28801-2426 2014-10-28
1730501362 Touchstone Residential Services Foster Care Agency 2807 Neuse Blvd Ste 1, New Bern, NC 28562-2816 2014-01-16
1407278013 Touchstone Residential Services Foster Care Agency 11030 Raven Ridge Rd Ste 17, Raleigh, NC 27614-8512 2014-01-16
1871839332 Barbaraking Homecare Agency Foster Care Agency 204 Sunny Ave, Dunn, NC 28334-4630 2013-01-02
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Competitor

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City JACKSONVILLE
Zip Code 28540

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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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