Organization · Type 2 NPI

Kim Newell Green M.d., P.c.

Mental Health Counselor · San Francisco, CA

NPI number 1548096977 Active

Practice location

2193 Fillmore St # 35
San Francisco, CA 94115-2223

Mailing address

530 Divisadero St Ste 108
San Francisco, CA 94117-2213

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Psychologist 103T00000XNone listed
Clinical Social Worker 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed
Health & Wellness Coach 171400000XNone listed
Community Health Worker 172V00000XNone listed
Peer Specialist 175T00000XNone listed

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About NPI 1548096977

Kim Newell Green M.d., P.c.'s National Provider Identifier is 1548096977, issued on Sep 11, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Francisco, CA. The record was last updated on Sep 10, 2025.