BETHANY GREEN (NPI# 1770975260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770975260 |
| Entity Type | Individual |
| Full Name | BETHANY GREEN |
| Credential | LMSW |
| Practice Address |
5103 W Pierson Rd Suite 3 Flint MI 48504-1395 |
| Practice Telephone | 8103912923 |
| Mailing Telephone | 8103912923 |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2016-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
6801066674 | MI | Behavioral Health & Social Service Providers |
| Y | 1041S0200X |
Social Worker Specialization: School |
6801066674 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518512086 | Bethany Green | Nurse Practitioner | 10920 S River Front Pkwy, South Jordan, UT 84095-3538 | 2019-08-01 |
| 1104363126 | Bethany Theresa Green | Massage Therapist | 1002 Nw 23rd Ave, Gainesville, FL 32609-5403 | 2017-01-28 |
| 1396196648 | Bethany Weston Green | Nurse Practitioner | 150 E 42nd St, New York, NY 10017-5612 | 2016-06-28 |
| 1770945586 | Bethany Green | Nurse Practitioner | 3443 Dickerson Pike, Ste. 680, Nashville, TN 37207 | 2016-03-22 |
| Street Address |
5103 W PIERSON RD SUITE 3 |
| City | FLINT |
| State | MI |
| Zip Code | 48504-1395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104875657 | Samuel John Salem | Dentist | 5103 W Pierson Rd, Flint, MI 48504-1395 | 2006-05-10 |
| 1871027896 | Oaktree Community & Social Growth | Case Management | 5103 W Pierson Rd, Flint, MI 48504-1395 | 2017-04-17 |
| 1689076390 | Stephanie Marie Johnson | Speech-Language Pathologist | 5103 W Pierson Rd, Suite #3, Flint, MI 48504-1395 | 2014-09-24 |
| 1679981484 | Kori Eileen Carson Dean | Psychologist | 5103 W Pierson Rd, Suite #3, Flint, MI 48504-1395 | 2014-07-24 |
| 1902236755 | Yvonne Williams | Occupational Therapist | 5103 W Pierson Rd, Flint, MI 48504-1395 | 2013-11-14 |
| 1114357084 | Learning Dreams LLC | Clinic/Center | 5103 W Pierson Rd, Flint, MI 48504-1395 | 2013-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935326 | St. Luke N.e.w. Life Center, Inc. | Optometrist | 3115 Lawndale Ave., Flint, MI 48504 | 2019-07-31 |
| 1235797259 | Saarah Amuthan | Dentist | 2051 West Pierson Road, Dental Dreams, Units B-d, Flint, MI 48504 | 2019-06-04 |
| 1639653413 | Chad Warren Montague | Social Worker | 1420 West University Ave, Flint, MI 48504 | 2018-09-18 |
| 1235628744 | Houda Ghassani | Dentist | 2501 W Pierson Rd # Unitsb-d, Flint, MI 48504 | 2018-05-09 |
| 1982108551 | Dawn Michelle Conklin | Physical Therapist | 1069 N Ballenger Hwy, Flint, MI 48504 | 2018-03-20 |
| 1699295204 | Stephen Thomas Holt | Dentist | 2501 West Pierson Road, Units B-d, Flint, MI 48504 | 2017-06-23 |
| 1841601739 | Charles Davis | Pharmacist | 4333 W. Pierson Rd. G, Flint, MI 48504 | 2014-05-13 |
| 1609151109 | All American Pharmacy LLC | Pharmacy | 3104-3106 Flushing Rd, Flint, MI 48504 | 2011-10-15 |
| 1972814143 | Ballenger Pharmacy Center | Pharmacy | 1073 N Ballenger Hwy, Flint Twp, MI 48504 | 2010-06-23 |
| 1932357837 | Katherine Ann Kogelmann | Social Worker | 1420 W. University, Flint, MI 48504 | 2008-09-04 |
| Find all providers in zip 48504 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949390 | Livonia Public Schools School District | Social Worker | 8900 Newburgh Rd, Livonia, MI 48150-3425 | 2020-10-13 |
| 1336756253 | Michael Holtzman | Social Worker | 3008 Brockman Blvd, Ann Arbor, MI 48104-4717 | 2020-09-24 |
| 1023626488 | Foadeh Ali Yahya | Social Worker | 5133 Saint Lawrence St Apt 2, Detroit, MI 48210-2162 | 2020-07-21 |
| 1427682277 | Kaylyn Marie Hoy | Social Worker | 131 Fairview St, Hanover, MI 49241-9702 | 2020-03-02 |
| 1972152569 | Alcona Citizens for Health, Inc. | Social Worker | 375 Wilson St Rm 12a, Alpena, MI 49707-1423 | 2019-09-06 |
| 1568010288 | Alcona Citizens for Health, Inc. | Social Worker | 7667 Us Highway 23 N Rm 111, Alpena, MI 49707-7905 | 2019-08-27 |
| 1962050690 | Alcona Citizens for Health, Inc. | Social Worker | 12170 Us Highway 23 S Rm 205b, Ossineke, MI 49766-9776 | 2019-08-27 |
| 1104383215 | Tara Horton | Social Worker | 8216 S 35 Rd, Cadillac, MI 49601-8958 | 2019-02-25 |
| 1649753146 | Family Medical Center of Michigan,inc | Social Worker | 13000 Essex Ave Rm 211, Detroit, MI 48215-3243 | 2018-09-11 |
| 1942780077 | Jodi Lynn Huizinga | Social Worker | 356 1/2 N Main, Cedar Springs, MI 49319-9776 | 2018-08-17 |
| Find all providers with the same taxonomy | ||||
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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.