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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 253J00000X | Foster Care Agency | Agencies |
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 |
Street Address |
1246 SUMNER ST |
City | JACKSONVILLE |
State | NC |
Zip Code | 28540-3473 |
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 |
Find all providers in zip 28540 |
Taxonomy Code | 253J00000X |
Grouping | Agencies |
Classification | Foster Care Agency |
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] |
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 |
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 |
Find all providers with the same taxonomy |
City | JACKSONVILLE |
Zip Code | 28540 |
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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.