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Organization
KIM NEWELL GREEN M.D., P.C.
Active
Organization
KIM NEWELL GREEN M.D., P.C.
Active
Other names
Divisadero Health Services California, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY NEWELL GREEN MD (OWNER)
(415) 496-5578
Entity
Organization
Contact information
Practice address
2193 FILLMORE ST # 35, SAN FRANCISCO, CA 94115-2223
(415) 496-5578
Mailing address
530 DIVISADERO ST STE 108, SAN FRANCISCO, CA 94117-2213
(415) 496-5578
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
171400000X
Health & Wellness Coach
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
09/11/2024
Last updated
09/10/2025
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