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

MS. Kimberly M Green, CSC-AD, RAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164601787

MS. Kimberly M Green, CSC-AD, RAC is an Addiction (Substance Use Disorder) Counselor in Riverdale, Maryland. Practices as a sole proprietor. Licensed in District of Columbia and Maryland.

Licensed in
DC, MD
In the registry since
2007
Specialties on file
2

Practice location Address checks out

4404 Queensbury Rd Ste 105
Riverdale, MD 20737-1074
Phone: (301) 864-0919
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence 210310714 (MD)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence ADD14102 (DC)

Record details

NPI number1164601787
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSC-AD , RAC
Sole proprietorYes
NPI enumeratedOctober 31, 2007
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021