Quimani Green, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

86229 Issued in CA

Practice address

1836 Bay Rd Unit D
East Palo Alto, CA 94303-1311

Phone

(408) 585-9679

NPI assigned

Oct 22, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wholly Me Therapeutic Services Inc.

  • Mental Health Counselor
  • East Palo Alto, CA
  • NPI 1700764156
  NPD Authorized official
• La Tanya Takla, Psychologist Inc

  • Clinical Psychologist
  • Modesto, CA
  • NPI 1336819564
  NPD (past)
• Pathways to Mending Feelings Psychotherapy Training Program Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Modesto, CA
  • NPI 1881386092

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1386110906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60403",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940880403",
            "telephone_number": "408-585-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 BAY RD UNIT D",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943031311",
            "telephone_number": "408-585-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "QUIMANI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "86229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "00000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "1836 Bay Rd Unit D",
            "city": "East Palo Alto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "943031311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Freda Gates-Johnson
• Global Hearing Inc
• Rosa Imelda Gomez-Levya, R.N.
• Ana Gomez, LVN
• Monique Graves, BSW
• Melissa C Guajardo, R.N.
• Melissa Ann Guariglia, PSYD
• Shalimar Guerra, C.A.T.C.
• Amanda Haiman Gersich, M.D.
• Renee Hazel Harris

• Clinical Social Worker in East Palo Alto, CA
• Providers in East Palo Alto, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.