KEVAN PAUL GREENE (NPI# 1861731002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861731002 |
| Entity Type | Individual |
| Full Name | KEVAN PAUL GREENE |
| Credential | MSW, LCSW |
| Practice Address |
1300 S Columbia Rd- Altru 1300 Columbia Grand Forks ND 58201-4012 |
| Mailing Address |
2401 Demers Ave Grand Forks ND 58201-4777 |
| Practice Telephone | 7017802300 |
| Mailing Telephone | 7017801891 |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2019-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 4610 | ND | Behavioral Health & Social Service Providers |
| Street Address |
1300 S COLUMBIA RD- ALTRU 1300 COLUMBIA |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-4012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722717 | Elizabeth Mae Kemp | Social Worker | 4324 University Ave Ste C, Grand Forks, ND 58203-1938 | 2020-05-27 |
| 1871092130 | Suzanne Sholes | Social Worker | 151 S 4th St Ste 200, Grand Forks, ND 58201-4715 | 2018-02-01 |
| 1952720401 | Darcy Diane Watts | Social Worker | 412 Demers Ave, Grand Forks, ND 58201-4508 | 2014-04-14 |
| 1861732026 | Camille Woolever | Social Worker | 212 S 4th St Ste 401, Grand Forks, ND 58201-4776 | 2013-02-26 |
| 1033493473 | Cheri Langei | Social Worker | 151 S. 4th St, Suite 201, Grand Forks, ND 58206-5196 | 2011-10-04 |
| 1093321101 | Megyn Renee Useldinger | Social Worker | 3535 S 31st St Ste 201, Grand Forks, ND 58201-3593 | 2020-09-23 |
| 1780202515 | Michaela Moffett | Social Worker | 4324 University Ave Ste C, Grand Forks, ND 58203-1938 | 2020-07-08 |
| 1942823737 | Tasha Gardner | Social Worker | 4324 University Ave Ste C, Grand Forks, ND 58203-1938 | 2020-05-27 |
| 1578100483 | Zachary Krieg | Social Worker | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-12-10 |
| 1700427440 | Robin Nadeau | Social Worker | 151 S 4th St Ste 201, Grand Forks, ND 58201-4715 | 2019-10-03 |
| Find all providers in GRAND FORKS | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
Please comment or provide details below to improve the information on KEVAN PAUL GREENE.
| 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.