JACQUELINE GREEN


Address: 10 Peterboro St, Detroit, MI 48201-2722
Phone: 3138336269

JACQUELINE GREEN (NPI# 1477831758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477831758
Entity Type Individual
Full Name JACQUELINE GREEN
Credential LLMSW
Practice Address 10 Peterboro St
Detroit
MI 48201-2722
Practice Telephone 3138336269
Practice Fax Number 3138312604
Mailing Telephone 3138336269
Mailing Fax Number 3138312604
Enumeration Date 2011-08-03
Last Update Date 2011-08-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
6801093400 MI Behavioral Health & Social Service Providers

Other Providers JACQUELINE GREEN

NPI Name Taxonomy Address Enumeration
1386189728 Jacqueline Green Occupational Therapist 4703 W Braddock Rd Apt 30, Alexandria, VA 22311-4706 2016-12-20
1598116204 Jacqueline Green Technician, Other 221 Flowerdale St, Ferndale, MI 48220-1875 2016-06-23
1912230798 Jacqueline Marie Green Specialist 37 Sandpiper Cir, Ormond Beach, FL 32174-6042 2009-09-11
1508401688 Jacqueline Green Community Health Worker 1775 Grand Concourse, Bronx, NY 10453-8202 2019-11-12
1962980094 Jacqueline Green Home Health Aide 9846 Hwy 31 E, Tyler, TX 75705-2329 2018-07-31
1306348487 Jacqueline Priscilla Green Nurse Practitioner 717 Pratt Ave Ne, Huntsville, AL 35801-3645 2018-03-05
1659732642 Jacqueline Green Specialist 1599 State St, Salem, OR 97301-4255 2016-03-17
1568866648 Jacqueline Green Specialist 4117 Nw 122nd St Ste C, Oklahoma City, OK 73120-8878 2014-10-17
1871937193 Jacqueline M Green Counselor 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 2013-04-18
1578816138 Jacqueline Marie Green Clinical Nurse Specialist 125 Paterson St, Clinical Academic Building Suite 6176, New Brunswick, NJ 08901-1962 2012-10-19

Office Location

Street Address 10 PETERBORO ST
City DETROIT
State MI
Zip Code 48201-2722

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508955733 Samuel A. Klein Psychiatry & Neurology 10 Peterboro St, Detroit, MI 48201-2722 2006-10-12
1548869258 Nakita M Currie Social Worker 10 Peterboro St, Detroit, MI 48201-2722 2020-10-23
1568079010 Paul Anthony Campbell Social Worker 10 Peterboro St, Detroit, MI 48201-2722 2020-09-29
1508473463 Aarin-earl Pesko-morales Registered Nurse 10 Peterboro St, Detroit, MI 48201-2722 2020-09-24
1346856945 Delicia Janette Parker Social Worker 10 Peterboro St, Detroit, MI 48201-2722 2020-09-18
1548875859 Lauren Marie Buchowski Social Worker 10 Peterboro St, Detroit, MI 48201-2722 2020-09-14
1447865340 Annamarie F Green Social Worker 10 Peterboro St, Detroit, MI 48201-2722 2020-09-09
1841804275 Jonathan Laye Social Worker 10 Peterboro St, Detroit, MI 48201-2722 2020-09-02
1316568884 Elijah Dooley Licensed Practical Nurse 10 Peterboro St, Detroit, MI 48201-2722 2020-05-06
1992324511 Lovilly Nickerson Social Worker 10 Peterboro St, Detroit, MI 48201-2722 2020-04-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457958811 Jeana L Rooks Social Worker 19340 Riverview St, Detroit, MI 48219-4684 2020-10-07
1457966749 Crystal Radford Social Worker 229 Riverside Dr, Detroit, MI 48215-3010 2020-09-13
1285248799 Lachonta Alise Conley Social Worker 12594 Promenade St, Detroit, MI 48213-1416 2020-09-02
1780297754 Simone D Yancy Social Worker 14247 Riverview St, Detroit, MI 48223-2414 2020-08-28
1104435460 Goddess Great Social Worker 17163 E Warren Ave, Detroit, MI 48224-2279 2020-07-23
1710501689 Matthew Vanderwindt Social Worker 3554 Yorkshire Rd, Detroit, MI 48224-2324 2020-06-05
1669091286 Evan Theodore Fulford Social Worker 19928 Lichfield Rd, Detroit, MI 48221-1363 2020-04-14
1669001335 Eric Allan Haynes Social Worker 1454 Strathcona Dr, Detroit, MI 48203-1464 2020-04-05
1629601729 Stephanie Beaton Social Worker 3011 W Grand Blvd Ste 406, Detroit, MI 48202-3011 2020-02-17
1871125781 Amalia S Miralrio Social Worker 1214 Griswold St Apt 805, Detroit, MI 48226-1816 2020-02-08
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Competitor

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City DETROIT
Zip Code 48201

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Dataset Information

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.

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