MS. JUDITH M. GREEN (NPI# 1205080199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205080199 |
| Entity Type | Individual |
| Full Name | MS. JUDITH M. GREEN |
| Credential | LCSW |
| Practice Address |
3995 Marcola Rd Springfield OR 97477-7948 |
| Practice Telephone | 5417261465 |
| Practice Fax Number | 5417265085 |
| Mailing Telephone | 5417261465 |
| Mailing Fax Number | 5417265085 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2014-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285921478 | Judith Green | Pediatrics | 145 Franklin Pl, Woodmere, NY 11598-1218 | 2011-07-07 |
| 1831310036 | Judith Denise Green | Physical Therapy Assistant | 6376 Gray Sea Way, Columbia, MD 21045-7416 | 2007-05-02 |
| 1396860821 | Judith H Green | Counselor | 125 Acacia Circle, #504, Indian Head Park, IL 60525 | 2007-03-21 |
| 1861848723 | Judith Green | Counselor | 4700 S Mill Ave, Tempe, AZ 85282-6736 | 2016-05-10 |
| 1184026288 | Judith Kaye Green | Pharmacist | 1717 Biddle St, Saint Louis, MO 63106-3454 | 2014-09-19 |
| 1740608876 | Judith Green | Psychologist | 420 Boulevard, Suite 101, Mountain Lakes, NJ 07046-1742 | 2014-04-05 |
| 1124237615 | Judith Mason Green | Psychologist | 286 5th Ave, 10f, New York, NY 10001-4512 | 2007-05-21 |
| 1043354772 | Judith Green | Psychologist | 118 South Sixth St, Odessa, DE 19730 | 2007-02-16 |
| 1972651867 | Judith E Green | Nurse Practitioner | 13652 Cantara St, Panorama City, CA 91402-5423 | 2007-01-08 |
| 1134280977 | Judith O Green | Psychologist | 15 South Main St, Suite 21, Springburo, OH 45066 | 2006-12-13 |
| Street Address |
3995 MARCOLA RD |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-7948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053343558 | Mental Health for Children, Inc | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2006-07-07 |
| 1013523455 | Isabel L Moran | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-09-21 |
| 1912510686 | Ayla Alexandria Caesar | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-08-24 |
| 1447862214 | Gordon Diquattro | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-08-21 |
| 1699385351 | Teia Rae-jean Carlisle | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-08-06 |
| 1922626514 | Jason H Brooks | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-07-09 |
| 1205454279 | Cora Crabtree | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-07-07 |
| 1538786256 | Lauren Taylor Hval | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-06-29 |
| 1063039014 | Kayla Armstrong | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-06-25 |
| 1801413893 | Camille Phillips | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| 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 |
|---|---|---|---|---|
| 1629676929 | Katrina Louise Routh | Social Worker | 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 | 2020-10-09 |
| 1194337022 | Loretta E. Buckwalter | Social Worker | 4401 Ridgewood Rd W, Springfield, OH 45503-6131 | 2020-08-21 |
| 1710596572 | Nichol Speciale | Social Worker | 3700 Kerry Blvd, Springfield, IL 62712-5858 | 2020-07-28 |
| 1124636162 | Sarah Ann Duffy | Social Worker | 6823 Floyd Ave, Springfield, VA 22150-2455 | 2020-07-15 |
| 1033736707 | Bernetta A Andrewin | Social Worker | 4481 Ash Grove Dr Ste A-d, Springfield, IL 62711-6358 | 2020-06-29 |
| 1013530856 | Christina Margaret White | Social Worker | 224 Springcreek Dr, Springfield, IL 62702-3469 | 2020-05-27 |
| 1295357192 | Luminary Counseling and Solutions, LLC | Social Worker | 319 E Madison St Ste 2c, Springfield, IL 62701-3120 | 2020-05-13 |
| 1861014326 | Marvin Merriweather Jr. | Social Worker | 510 E Apple Orchard Rd Ste 103, Springfield, IL 62703-4081 | 2020-05-07 |
| 1477182061 | Sean Edward Snyder | Social Worker | 578 Sheffield Dr, Springfield, PA 19064-2822 | 2020-04-06 |
| 1801429246 | David Aichroth Jr. | Social Worker | David Aichroth, 11 Dundar Rd Suite 105, Springfield, NJ 07081-2210 | 2020-02-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
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| 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.