SUSAN CLARK (NPI# 1114580347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114580347 |
| Entity Type | Individual |
| Full Name | SUSAN CLARK |
| Credential | CSW |
| Practice Address |
51 Street of Dreams Martinsburg WV 25403-1134 |
| Mailing Address |
34 Clouser Ct Martinsburg WV 25405-7581 |
| Practice Telephone | 3042641442 |
| Enumeration Date | 2019-04-14 |
| Last Update Date | 2019-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
BP00945123 | WV | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161950 | Susan Marie Clark | Nurse Practitioner | 674 Coral Way, Winter Springs, FL 32708-3127 | 2020-07-09 |
| 1528591575 | Susan Clark | Counselor | 604 S Walnut, Stillwater, OK 74074-4222 | 2017-04-06 |
| 1790178556 | Susan March Clark | Peer Specialist | 3277 E 2nd St, Tulsa, OK 74104-2134 | 2015-03-17 |
| 1841537990 | Susan Noble Clark | Developmental Therapist | 1730 Radcliffe Rd, Montgomery, AL 36106-2620 | 2013-01-09 |
| 1881963411 | Susan Clark | Occupational Therapy Assistant | 38 Wheeler Ave, Warwick, NY 10990-1341 | 2011-12-28 |
| 1437302684 | Susan Maslin Clark | Chiropractor | 20416 Bowfonds St, Ashburn, VA 20147-7457 | 2008-11-01 |
| 1871780940 | Susan Marie Clark | Counselor | 112 S Water St Ste B, Kent, OH 44240-3689 | 2007-10-02 |
| 1750403861 | Susan M Clark | Psychologist | 1022 Cherokee Ave, Royal Oak, MI 48067 | 2007-04-06 |
| 1598892085 | Susan L Clark | Psychiatry & Neurology | 9515 60th Ave W, Mukilteo, WA 98275 | 2007-02-28 |
| 1609968692 | Susan M Clark | Pediatrics | 1318 S Main Road, Vineland, NJ 08360 | 2006-09-28 |
| Street Address |
51 STREET OF DREAMS |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25403-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346342458 | Shahnoor Ali Khan | Psychiatry & Neurology | 51 Street of Dreams, Martinsburg, WV 25403-1134 | 2006-09-01 |
| 1275169914 | Susanne Caroline Lilly | Social Worker | 51 Street of Dreams, Martinsburg, WV 25403-1134 | 2020-03-13 |
| 1891246724 | Barbara Ann Kadesky | Nurse Practitioner | 51 Street of Dreams, Martinsburg, WV 25403-1134 | 2016-10-15 |
| 1508106550 | Camilla French Rebuck | Social Worker | 51 Street of Dreams, Martinsburg, WV 25403-1134 | 2013-02-27 |
| 1376839886 | Robyn M Harrison-taft | Counselor | 51 Street of Dreams, Martinsburg, WV 25403-1134 | 2011-06-22 |
| 1760795405 | Martinsburg Urgent Care Inc | Family Medicine | 51 Street of Dreams, Martinsburg, WV 25403-1134 | 2010-07-23 |
| 1841422045 | Chambers Chiropractic Offices, C.c. Inc | Chiropractor | 51 Street of Dreams, Martinsburg, WV 25403-1134 | 2009-08-20 |
| 1013130178 | Mary Lynne Perkins | Nurse Practitioner | 51 Street of Dreams, Martinsburg, WV 25401-1134 | 2007-04-10 |
| 1134299340 | Terry W Chambers | Chiropractor | 51 Street of Dreams, Martinsburg, WV 25401-1134 | 2006-11-08 |
| 1407930225 | Eastern Panhandle Psychiatry, Inc | Community/Behavioral Health | 51 Street of Dreams, Martinsburg, WV 25403-1134 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912339 | Elizabeth Hutzler | Registered Nurse | Berkeley County Brd of Education, 1453 Wincherster Avenue, Martinsubug, WV 25403 | 2018-12-03 |
| 1326442146 | Jennifer Anne Markovits | Pharmacist | 1171 Horizon Way, Martinsburg, WV 25403 | 2014-10-22 |
| 1255763819 | Parkhill Counseling, LLC | Counselor | 93 Crimson Cr., Martinsburg, WV 25403 | 2013-08-06 |
| 1265556039 | Andrea Christina Petrucci Kackley | Counselor | 2914 Hedgesville Road, Apple Ridge Counseling Associates, Martinsburg, WV 25403 | 2007-03-19 |
| 1568935583 | Joy Gesford | Registered Nurse | Berkeley County Board of Education, 1453 Winchester Avenue, Martinsburg, WV 25403 | 2019-01-03 |
| 1295203818 | Tina Cameron | Registered Nurse | Berkeley County Board of Education, 1453 Winchester Avenue, Martinsburg, WV 25403 | 2018-11-13 |
| 1376718882 | Patricia M Hartman | Dentist | 50 Street of Dreams, Martinsburg, WV 25403 | 2008-04-25 |
| 1700217585 | Thais Gonzalez | Nurse's Aide | 416 Gantt Dr, Martinsburg, WV 25403-0281 | 2013-12-04 |
| 1407319726 | Kimberly Anne Saul | Nurse Practitioner | 3 Ceritos Trl, Martinsburg, WV 25403-0300 | 2019-04-12 |
| 1962745950 | Jason Bryce Swalm | Emergency Medicine | 3 Ceritos Trail, Martinsburg, WV 25403-0300 | 2013-03-28 |
| Find all providers in zip 25403 | ||||
| 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 |
|---|---|---|---|---|
| 1730600883 | Jamie Lynn Lehew-redman | Social Worker | 613 Winchester Ave, Martinsburg, WV 25401-2101 | 2017-06-29 |
| 1326569583 | Lorie Mullan | Social Worker | 653 Winchester Ave, Martinsburg, WV 25401-2149 | 2017-06-28 |
| 1801337100 | Inner Awakening Counseling & Consultation, Pllc | Social Worker | 115 Aikens Ctr Ste 14, Martinsburg, WV 25404-6210 | 2017-03-20 |
| 1306382502 | Daniel Speis | Social Worker | 200 N Tennessee Ave, Martinsburg, WV 25401-2335 | 2017-01-11 |
| 1164887840 | Ana Finney | Social Worker | 142 N Queen St Ste 212, Martinsburg, WV 25401-3312 | 2015-12-22 |
| 1073945721 | Daysha Lee Everhart | Social Worker | 400 W. Martin Street, Martinsburg, WV 25401-9991 | 2013-08-05 |
| 1548519820 | Peter A Allphin | Social Worker | 603 Olympic Dr, Martinsburg, WV 25404-0173 | 2012-09-02 |
| 1063797165 | Megan Elizabeth Simms | Social Worker | 400 W Martin St, Martinsburg, WV 25401-2747 | 2011-10-20 |
| 1104159300 | Chukwuyem Odiah | Social Worker | 15 Effie Ln, Martinsburg, WV 25404-7626 | 2009-09-08 |
| 1588804769 | Monica R Cogle | Social Worker | 1664 Winchester Ave, Ste B, Martinsburg, WV 25405-3881 | 2009-02-27 |
| Find all providers in MARTINSBURG | ||||
| City | MARTINSBURG |
| Zip Code | 25403 |
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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.