Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kanisha Renee Green

Individual provider Case Manager/Care Coordinator · NPI 1609271303

Kanisha Renee Green is a Case Manager/Care Coordinator in Sacramento, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

3840 Rosin Ct
Sacramento, CA 95834-1639
Phone: (916) 230-2748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3440 Viking Dr Ste 114, Sacramento, CA 95827-2844 — (916) 287-4067

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-MWBXCL (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1609271303
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 24, 2014
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023

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