KENNETH GREEN (NPI# 1427229194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427229194 |
| Entity Type | Individual |
| Full Name | KENNETH GREEN |
| Credential | LCSW |
| Practice Address |
408 S Broadview St Cape Girardeau MO 63703-5725 |
| Practice Telephone | 5733320808 |
| Practice Fax Number | 5733397945 |
| Mailing Telephone | 5733320808 |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
003361 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699310466 | Kenneth Leroy Green Jr. | Durable Medical Equipment & Medical Supplies | 7939 W Gulf To Lake Hwy, Crystal River, FL 34429-7931 | 2019-11-15 |
| 1366964462 | Kenneth Walter Green | Massage Therapist | 307 Rockmoor Dr, Georgetown, TX 78628-8983 | 2017-07-10 |
| 1972828895 | Kenneth James Green | Social Worker | 2505 W 71st St, Indianapolis, IN 46268-2344 | 2010-04-03 |
| 1083623367 | Kenneth E Green | Family Medicine | 1895 Elizabethtown Rd, Leitchfield, KY 42754-9138 | 2006-08-05 |
| 1659366375 | Kenneth H Green | Optometrist | 4040 W Kennedy Blvd, Tampa, FL 33609-2750 | 2005-09-19 |
| 1508802950 | Kenneth E Green | Surgery | 1025 New Moody Ln, La Grange, KY 40031-9154 | 2006-06-22 |
| 1245281716 | Kenneth Vincent Green | Social Worker | 102 Springhill Cir, Panama City, FL 32405-3546 | 2006-05-12 |
| 1649245614 | Kenneth Peter Green | Dentist | National Naval Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2006-02-22 |
| 1114909512 | Kenneth R. Green | Internal Medicine | 1304 Buckley Rd, Syracuse, NY 13212-4302 | 2005-11-19 |
| 1780680900 | Kenneth O Green | Ophthalmology | 111 W Lincoln St, Belleville, IL 62220-2019 | 2005-06-22 |
| Street Address |
408 S BROADVIEW ST |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-5725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316948730 | Susan B Farrow | Nurse Practitioner | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2005-08-09 |
| 1114563798 | Tracey D Cooley | Dental Hygienist | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2019-11-19 |
| 1386108181 | Constance R Koerner-bean | Social Worker | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2019-01-25 |
| 1356839971 | Andrew J Bova | Dentist | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2018-04-30 |
| 1447754122 | Katie Kristine Berghoff | Dental Hygienist | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2018-03-19 |
| 1104348507 | Mitra Nejat-bina | Dentist | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2017-07-07 |
| 1609295674 | Autumn Rose Vangennip | Dental Hygienist | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2014-04-07 |
| 1205178274 | Nancy K Johnson | Nurse Practitioner | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2013-03-18 |
| 1083964563 | Ashley Lipke | Registered Nurse | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2012-09-12 |
| 1669746624 | Alan David Jones | Dentist | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2012-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| 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 |
|---|---|---|---|---|
| 1083186175 | Crystal Dawn Montgomery | Social Worker | 615 N Broadview St Ste 102, Cape Girardeau, MO 63701-4372 | 2018-12-30 |
| 1881966828 | One Accord Counseling LLC | Social Worker | 1200 N Kingshighway St Ste 4, Cape Girardeau, MO 63701-3507 | 2012-02-07 |
| 1144414731 | Jessica Marie Woolf-chessey | Social Worker | 402 S. Silver Springs, Cape Girardeau, MO 63703-7536 | 2007-08-28 |
| 1841365798 | Hugh Elbert Stone Sr. | Social Worker | 1707 N Mount Auburn Rd, Suite K, Cape Girardeau, MO 63701-2169 | 2006-11-22 |
| 1083718654 | Teri Kluesner | Social Worker | 2909 Independence St, Cape Girardeau, MO 63703-5044 | 2006-09-12 |
| 1568468627 | Dana C Branson | Social Worker | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2005-06-23 |
| 1114560117 | Jessica Renee Nissen | Social Worker | 2845 Independence St, Cape Girardeau, MO 63703-5015 | 2019-10-22 |
| 1386108181 | Constance R Koerner-bean | Social Worker | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2019-01-25 |
| 1528533643 | Randi Necole Senciboy | Social Worker | 619 N Broadview St, Cape Girardeau, MO 63701-4313 | 2018-10-04 |
| 1346752680 | Erin Randol | Social Worker | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2017-10-26 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
Please comment or provide details below to improve the information on KENNETH GREEN.
| 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.