CHRISTINE M CLARK (NPI# 1063046068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063046068 |
| Entity Type | Individual |
| Full Name | CHRISTINE M CLARK |
| Credential | LCSW |
| Practice Address |
38 Southmont Dr Tuscaloosa AL 35405-4162 |
| Practice Telephone | 2056140415 |
| Mailing Telephone | 2056140415 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1757C | AL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912531708 | Christine Mccarthy Clark | Dietitian, Registered | 1 W Foster St Ste 3, Melrose, MA 02176-3879 | 2020-03-02 |
| 1063963395 | Christine Michelle Clark | Counselor | 6321 Terra Rosa Cir, Boynton Beach, FL 33472-5144 | 2016-10-21 |
| 1932514288 | Christine M Clark | Psychiatry & Neurology | 1 University of New Mexico # 95030, Albuquerque, NM 87131-0001 | 2014-06-25 |
| 1538588900 | Christine Clark | Physical Therapist | 403 Bryant St, Stroudsburg, PA 18360-2303 | 2014-04-14 |
| 1104256734 | Christine Clark | Registered Nurse | 6 Mount Cook Ave, Farmingville, NY 11738-2023 | 2013-11-18 |
| 1144573783 | Christine A Clark | Licensed Practical Nurse | 11 Evelyn Ct, Manorville, NY 11949-2851 | 2012-10-19 |
| 1033435615 | Christine E. Clark | Pharmacist | 1122 Hwy 61, Winona, MN 55987 | 2010-04-08 |
| 1043495179 | Christine D Clark | Optometrist | 221 Woodland Ave, Bloomington, IL 61701-5659 | 2008-01-08 |
| 1548876097 | Christine Clark | Nurse Practitioner | 1440 Broadway, New York, NY 10018-2301 | 2020-09-21 |
| 1326690421 | Christine Marie Clark | Occupational Therapist | 4707 140th Ave N Ste 313, Clearwater, FL 33762-3841 | 2019-07-10 |
| Street Address |
38 SOUTHMONT DR |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35405-4162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598399776 | Alabama Therapy Center, PC | Social Worker | 38 Southmont Dr, Tuscaloosa, AL 35405-4162 | 2020-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010270 | Jane Ferguson | Specialist/Technologist | 3831 3rd Ave, Apt 31, Tuscaloosa, AL 35405 | 2020-10-12 |
| 1487252771 | Changing Seasons Therapy and Consulting, Pllc | Social Worker | 1105 Southview Lane Ste 103 #2, Tuscaloosa, AL 35405 | 2020-10-09 |
| 1528590874 | Susan B. Miles | Registered Nurse | 1400 James I. Harrison Jr. Parkway E., Suite 100, Tuscaloosa, AL 35405 | 2017-03-28 |
| 1881069474 | Dhl Mobile Healthcare LLC | Nurse Practitioner | 7700 Highway 69 S Ste B, Tuscaloosa, AL 35405 | 2015-12-08 |
| 1386056026 | Remona Peterson | Family Medicine | 6521 Highway 69 S Ste M, Tuscaloosa, AL 35405 | 2014-05-29 |
| 1184909475 | Walter Dewaine Brewer | Pharmacist | 8701 Hwy 69 South, Tuscaloosa, AL 35405 | 2011-10-18 |
| 1063702439 | Annette Marie Gibson | Nurse Practitioner | 819 Mimosa Park Road, Suite C, Tuscaloosa, AL 35405 | 2011-04-19 |
| 1790075588 | Jones Counseling and Therapeutic Services | Marriage & Family Therapist | 138-39th Street, Tuscaloosa, AL 35405 | 2011-04-13 |
| 1356513030 | Jennifer Kaye Williams | Licensed Practical Nurse | 5404 4th Ct East, Tuscaloosa, AL 35405 | 2008-04-02 |
| 1679772891 | Vijaya K Kommareddi | Internal Medicine | 3701 Loop Road Suite 210, Va Medical Center, Tuscaloosa, AL 35405 | 2007-07-17 |
| Find all providers in zip 35405 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627203 | Gabrielle Franklin | Social Worker | 5501 Old Montgomery Hwy Apt 7423, Tuscaloosa, AL 35405-5067 | 2020-10-20 |
| 1487252771 | Changing Seasons Therapy and Consulting, Pllc | Social Worker | 1105 Southview Lane Ste 103 #2, Tuscaloosa, AL 35405 | 2020-10-09 |
| 1598399776 | Alabama Therapy Center, PC | Social Worker | 38 Southmont Dr, Tuscaloosa, AL 35405-4162 | 2020-02-26 |
| 1528604295 | Patricia Ann Doughty | Social Worker | 2123 9th St Ste 114, Tuscaloosa, AL 35401-2364 | 2019-11-18 |
| 1114575768 | Rex Beach Perkins IIi | Social Worker | 1050 Lurleen B Wallace Blvd S, Tuscaloosa, AL 35401-2219 | 2019-08-27 |
| 1992362834 | Clarity Counseling LLC | Social Worker | 2804 8th St, Tuscaloosa, AL 35401-2108 | 2019-05-27 |
| 1740748581 | Washaundra A. Mcneil | Social Worker | 3915 Palisades Dr Ste B, Tuscaloosa, AL 35405-3415 | 2019-03-11 |
| 1386111466 | Jason Ryan Cowart | Social Worker | 10300 Highway 69 S, Tuscaloosa, AL 35405-9684 | 2018-10-27 |
| 1356834428 | Heather Glenn Macleod | Social Worker | 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 | 2018-06-12 |
| 1548757594 | Jacquelyne Johnson | Social Worker | 9018 Cotton Field Cir, Tuscaloosa, AL 35405-9643 | 2018-04-16 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.