ADAM G CLARK-TAN (NPI# 1093024937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093024937 |
| Entity Type | Individual |
| Full Name | ADAM G CLARK-TAN |
| Credential | LCSW |
| Practice Address |
21 Penhurst Ave Daly City CA 94015-4423 |
| Practice Telephone | 4157637782 |
| Mailing Telephone | 4157637782 |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2016-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
63563 | CA | Behavioral Health & Social Service Providers |
| Street Address |
21 PENHURST AVE |
| City | DALY CITY |
| State | CA |
| Zip Code | 94015-4423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881235901 | Fast Express Ride Inc | Non-emergency Medical Transport (VAN) | 381 Westlake Ctr # 292, Daly City, CA 94015 | 2019-09-30 |
| 1598231888 | National Vision Inc | Technician/Technologist | 148a Serramonte Center, Daly City, CA 94015 | 2018-10-15 |
| 1174017313 | Glaiza Cecilia S Canares | Student in an Organized Health Care Education/Training Program | 255 Dennis Drive, Daly City, CA 94015 | 2018-06-20 |
| 1154869477 | Noah Bautista | Massage Therapist | 151 87th St Suite 4, Daly City, CA 94015 | 2017-02-07 |
| 1417387291 | Accuquest Hearing Centers | Clinic/Center | 10 Park Plaza Dr., Daly City, CA 94015 | 2013-11-15 |
| 1801193800 | Carol Crane | Physical Therapy Assistant | 333 Gellert Dr., Suite 150, Supplemental Health Care, Daly City, CA 94015 | 2011-02-28 |
| 1366753808 | Emerito Cesar C Nunag | Physical Therapy Assistant | 595 Clarinada Avenue #2, Daly City, CA 94015 | 2010-06-30 |
| 1356668016 | Lauren Rose Hendrick | Marriage & Family Therapist | 355 Gellert Blvd Suite 280, Daly City, CA 94015 | 2010-04-21 |
| 1205061868 | Isabel A. Walsh | General Practice | 783 Skyline Dr., Daly City, CA 94015 | 2009-05-26 |
| 1790933539 | Frank Geoffrey Yeh | Dentist | 1440 Southgate Ave., Daly City, CA 94015 | 2008-09-05 |
| Find all providers in zip 94015 | ||||
| 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 |
|---|---|---|---|---|
| 1407259880 | Christine Lau | Social Worker | 66 Partridge Ln, Daly City, CA 94014-1360 | 2014-09-30 |
| 1902057532 | Michelle Ruidera Fortunado-kewin | Social Worker | 243 Citrus Ave, Daly City, CA 94014-1946 | 2008-10-01 |
| 1548386519 | Ruby Kamaka | Social Worker | 4429 Callan Blvd, Daly City, CA 94015-4410 | 2007-03-22 |
| 1831239607 | Robert Boltuch | Social Worker | 990 Saint Francis Blvd, #1028, Daly City, CA 94015-4366 | 2007-02-08 |
| 1477634954 | Nancy Lim-yee | Social Worker | 211 Eastmoor Avenue, Daly City, CA 94015-2036 | 2006-10-18 |
| 1427524149 | David Andrew Scheid | Social Worker | 2001 Junipero Serra Blvd Ste 650, Daly City, CA 94014-3897 | 2018-10-19 |
| 1023516929 | Helene Michelle Omansky | Social Worker | 901 Campus Dr, Daly City, CA 94015 | 2018-01-25 |
| 1306095815 | Ari Seth Neulight | Social Worker | 375 89th St, Daly City, CA 94015-1802 | 2008-09-09 |
| 1033306980 | Alfredo Zepeda | Social Worker | 375 89th St, Daly City, CA 94015-1802 | 2007-09-25 |
| 1780893388 | Letty Puccinelli Morris | Social Worker | 1900 Sullivan Ave, Seton Social Services, Daly City, CA 94015-2200 | 2007-05-21 |
| Find all providers in DALY CITY | ||||
Please comment or provide details below to improve the information on ADAM G CLARK-TAN.
| 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.