Mr Kevan Greene, MSW, LCSW | |
860 S. Columbia Rd, Grand Forks, ND 58201 | |
(701) 780-6697 | |
Not Available |
Full Name | Mr Kevan Greene |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 13 Years |
Location | 860 S. Columbia Rd, Grand Forks, North Dakota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861731002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 4610 (North Dakota) | Secondary |
104100000X | Social Worker | 4610 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Altru Hospital | Grand forks, ND | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Altru Health System | 1355251604 | 520 |
Entity Name | Altru Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714 |
Mailing Address | Practice Location Address |
---|---|
Mr Kevan Greene, MSW, LCSW 2401 Demers Ave, Grand Forks, ND 58201 Ph: (701) 780-6468 | Mr Kevan Greene, MSW, LCSW 860 S. Columbia Rd, Grand Forks, ND 58201 Ph: (701) 780-6697 |
Kayla J. Norton, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 151 S 4th St Ste 401, Grand Forks, ND 58201 Phone: 701-795-3000 Fax: 701-795-3050 | |
Lacy Suby, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2300 Library Cir, Grand Forks, ND 58201 Phone: 701-757-0477 Fax: 701-772-1763 | |
Mrs. Diane Kay Baumbach, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2755 10th Ave N, Grand Forks, ND 58203 Phone: 701-738-0888 Fax: 701-757-1431 | |
Mr. Jeff Williams, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1615 17th Ave S, Grand Forks, ND 58201 Phone: 701-795-8550 Fax: 701-746-5523 | |
Ms. Rachel A Ambers, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 151 S 4th St, Suite 401, Grand Forks, ND 58201 Phone: 701-795-3000 Fax: 701-795-3050 | |
Katherine Michelle Francis, MSW LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3535 S 31st St Ste 201, Grand Forks, ND 58201 Phone: 701-780-6821 Fax: 701-780-1973 | |
Jessica Hermanson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1407 24th Ave S Ste 530, Grand Forks, ND 58201 Phone: 701-738-0888 Fax: 701-738-0889 |