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

Shanicka Green

Individual provider Community Health Worker · NPI 1063250413

Shanicka Green is a Community Health Worker in Carlsbad, New Mexico. Licensed in New Mexico. Registered with an NPI since 2024.

Licensed in
NM
In the registry since
2024
Specialties on file
3

Practice location Address checks out

1900 Westridge Rd
Carlsbad, NM 88220-3550
Phone: (575) 725-5552
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CTB20250457 (NM)
Community Health Worker Taxonomy 172V00000X (NM)
Peer Specialist Taxonomy 175T00000X · Licence 1735 (NM)

Record details

NPI number1063250413
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 18, 2024
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025
Mailing addressPo Box 3141, Carlsbad, NM 88221-3141

Other providers in Carlsbad