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MRS. KIM CLARK-GREEN
NPI 1043875263
Case Manager/Care Coordinator in Shreveport, LA

Active since May 02, 2019
4111 METRO DR STE B, SHREVEPORT, LA 71109(318) 636-0390(318) 635-3298 Get Directions Write a Review

NPPES record last updated: May 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kim Clark-green NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIM CLARK-GREEN (NPI 1043875263) is an individual case manager/care coordinator provider in Shreveport, Louisiana and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1043875263
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMRS. KIM CLARK-GREEN
Location Address4111 METRO DR STE BShreveport, LA 71109-6001
Mailing Address4111 Metro Dr Ste BShreveport, LA 71109-6001 · (318) 636-0390 · Fax (318) 635-3298
Phone(318) 636-0390
Fax(318) 635-3298
Sole ProprietorNo
Enumeration DateMay 2, 2019
✔ NPI 1043875263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
4111 METRO DR STE B, Shreveport, LA 71109
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EUNICE WILKERSON
Case Manager/Care Coordinator
4111 METRO DR STE B
SHREVEPORT, LA 71109
Caddo Parish (318) 636-0391
RICKEY HARRIS
Case Manager/Care Coordinator
4111 METRO DR STE B
SHREVEPORT, LA 71109
Caddo Parish (318) 636-0391
MELVIN LARS
Case Manager/Care Coordinator
4111 METRO DR STE B
SHREVEPORT, LA 71109
Caddo Parish (318) 636-0391
DONNA L BROOKS
Case Manager/Care Coordinator
4111 METRO DR STE B
SHREVEPORT, LA 71109
Caddo Parish (318) 636-0391

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Clark-green's NPI number?

The NPI number for Kim Clark-green is 1043875263. It was assigned to this individual provider in the NPPES registry on May 2, 2019.

Where is Kim Clark-green located?

Kim Clark-green practices at 4111 Metro Dr Ste B, Shreveport, LA 71109. The listed phone number is (318) 636-0390.

What is Kim Clark-green's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Kim Clark-green was last updated on May 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.