KIMBERLY GREEN
NPI 1962950295
Case Manager/Care Coordinator in Lake Charles, LA

Active since September 15, 2016
2110 OAK PARK BLVD, LAKE CHARLES, LA 70601(337) 475-0324 Get Directions Write a Review

NPPES record last updated: February 18, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 18, 2019, Sep 15, 2016 (2 updates tracked since 2016).

  • Individual
  • Female
  • Case Manager/Care Coordinator

About KIMBERLY GREEN

This page provides the complete NPI Profile along with additional information for Kimberly Green, a provider established in Lake Charles, Louisiana with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1962950295 assigned on September 2016. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1962950295 Verify this NPI
Provider Name
KIMBERLY GREEN
Gender
Female
Entity Type
Individual
Location Address
2110 OAK PARK BLVD LAKE CHARLES, LA 70601
Location Phone
(337) 475-0324
Mailing Address
1639 RYAN ST LAKE CHARLES, LA 70601
Mailing Phone
(337) 602-6391
Mailing Fax
(337) 602-6392
Is Sole Proprietor?
No
Enumeration Date
09-15-2016
Last Update Date
02-18-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Professional)
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Counselor (Mental Health)
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Counselor (Mental Health)
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Peer Specialist
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Case Manager/Care Coordinator
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Registered Nurse
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Licensed Practical Nurse
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Counselor (Professional)
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Case Manager/Care Coordinator
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Registered Nurse
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Case Manager/Care Coordinator
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Peer Specialist
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Case Manager/Care Coordinator
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Case Manager/Care Coordinator
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Case Manager/Care Coordinator
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Licensed Practical Nurse
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Counselor (Mental Health)
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Licensed Practical Nurse
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Clinical Nurse Specialist (Psychiatric/Mental Health)
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Licensed Vocational Nurse
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962950295, enumerated as an "individual" on September 15, 2016.

The provider is located at 2110 OAK PARK BLVD LAKE CHARLES, LA 70601 and the phone number is (337) 475-0324.

Case Manager/Care Coordinator with taxonomy code 171M00000X.