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MS. KIMBERLY M GREEN CSC-AD, RAC
NPI 1164601787
Community/Behavioral Health in Riverdale, MD

Active since October 31, 2007
4404 QUEENSBURY RD STE 105, RIVERDALE, MD 20737(301) 864-0919 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kimberly M Green Csc-ad, Rac NPPES

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

MS. KIMBERLY M GREEN CSC-AD, RAC (NPI 1164601787) is an individual community/behavioral health provider in Riverdale, Maryland, licensed in Maryland (210310714) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1164601787
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameMS. KIMBERLY M GREENCredential: CSC-AD, RAC
Location Address4404 QUEENSBURY RD STE 105Riverdale, MD 20737-1074
Mailing Address4404 Queensbury Rd Ste 105Riverdale, MD 20737-1074 · (301) 864-0919
Phone(301) 864-0919
Sole ProprietorYes
Enumeration DateOctober 31, 2007
Last NPPES UpdateAugust 25, 2021
NPPES CertifiedAugust 25, 2021
✔ NPI 1164601787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in MD · 210310714
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ADD14102 (DC)
4404 QUEENSBURY RD STE 105, Riverdale, MD 20737
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Other Providers at the Same Location NPPES 6

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

CHANGE REACTION
Community/Behavioral Health
4404 QUEENSBURY RD STE 105
RIVERDALE, MD 20737
Prince George's County (240) 432-7659
BRITTNEY M THOMAS
Counselor (Mental Health)
4404 QUEENSBURY RD STE 105
RIVERDALE, MD 20737
Prince George's County (914) 704-7372
GUIDING LIGHT THERAPEUTIC SERVICES
Counselor (Mental Health)
4404 QUEENSBURY RD STE 105
RIVERDALE, MD 20737
Prince George's County (301) 379-4211
TIFFANY M WHEELER
Counselor
4404 QUEENSBURY RD STE 105
RIVERDALE, MD 20737
Prince George's County (301) 864-0919
STACY MACKELL
Counselor
4404 QUEENSBURY RD STE 105
RIVERDALE, MD 20737
Prince George's County (301) 447-0786
CHANGE REACTION, CORP
Community/Behavioral Health
4404 QUEENSBURY RD STE 105
RIVERDALE, MD 20737
Prince George's County (301) 864-0919

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 Kimberly Green's NPI number?

The NPI number for Kimberly Green is 1164601787. It was assigned to this individual provider in the NPPES registry on October 31, 2007.

Where is Kimberly Green located?

Kimberly Green practices at 4404 Queensbury Rd Ste 105, Riverdale, MD 20737. The listed phone number is (301) 864-0919.

What is Kimberly Green's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Green was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.