SHANICKA GREEN, Addiction (Substance Use Disorder) CARLSBAD, NM

Contact Information

SHANICKA GREEN

1900 WESTRIDGE RD
CARLSBAD, NM 88220-3550

Phone: 575-725-5552
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Addiction (Substance Use Disorder)	101YA0400X
Community Health Worker	172V00000X
Other Service Providers	175T00000X

Indicates primary specialty

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NPI Profile & details for SHANICKA GREEN · (Female)

NPI #	`1063250413`
Status	Active
Credentials
Entity	Individual
Enumeration date	07/18/2024
Last updated	09/19/2025 - About 9 months ago
Sole proprietor ¹	No
Identifiers	NM License # 1735 NM License # CTB20250457
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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