REBECCA CLARK (NPI# 1174606776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174606776 |
| Entity Type | Individual |
| Full Name | REBECCA CLARK |
| Credential | LSW |
| Practice Address |
1330 W 26th St Fl 2 Erie PA 16508-1402 |
| Practice Telephone | 8144512345 |
| Practice Fax Number | 8144512348 |
| Mailing Telephone | 8144512345 |
| Mailing Fax Number | 8144512348 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | SW011652L | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978833 | Rebecca Clark | Massage Therapist | 244 Madison Ave # 391, New York, NY 10016-2817 | 2020-09-30 |
| 1184130759 | Rebecca Lee Clark | Registered Nurse | 2435 Kimberly Rd Ste 10n, Bettendorf, IA 52722-3572 | 2017-12-19 |
| 1144761099 | Rebecca Clark | Counselor | 24401 W 39th St S, Goddard, KS 67052-8713 | 2017-03-11 |
| 1437589199 | Rebecca Scoggin Clark | Nurse Practitioner | 413 Mcconnell Street, Jefferson, NC 28640 | 2013-11-16 |
| 1861557563 | Rebecca Clark | Respite Care | 2703 S 37th Dr, Yuma, AZ 85364-5983 | 2006-12-25 |
| 1831112671 | Rebecca Jand Clark | Counselor | 1501 San Pedro Se (116), Albuquerque, NM 87108 | 2006-07-25 |
| 1922067859 | Rebecca A Clark | Physician Assistant | 664 N Main St, Pearson, GA 31642 | 2006-03-20 |
| 1124004700 | Rebecca Elizabeth Clark | Nurse Practitioner | 1811 State St, Nashville, TN 37203-2205 | 2005-12-15 |
| 1841811098 | Rebecca L Clark | Behavior Technician | 9900 Gilmore Ridge Rd, Nashville, IN 47448-9731 | 2020-04-29 |
| 1073149167 | Rebecca Maria Clark | Genetic Counselor, MS | Upmc Children's Hospital of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA 15224-1334 | 2020-03-20 |
| Street Address |
1330 W 26TH ST FL 2 |
| City | ERIE |
| State | PA |
| Zip Code | 16508-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558380394 | Linda R. Graves | Social Worker | 1330 W 26th St Fl 2, Erie, PA 16508-1402 | 2006-07-19 |
| 1568539880 | Terrence W Yeager | Counselor | 1330 W 26th St Fl 2, Erie, PA 16508-1402 | 2006-11-30 |
| 1609946904 | Mark Morrow | Counselor | 1330 W 26th St Fl 2, Erie, PA 16508-1402 | 2006-11-08 |
| 1780767376 | Letisha Osearo | Psychologist | 1330 W 26th St Fl 2, Erie, PA 16508-1402 | 2006-10-24 |
| 1780767392 | Jean Morrow | Counselor | 1330 W 26th St Fl 2, Erie, PA 16508-1402 | 2006-10-24 |
| 1043393648 | Mark Diplacido | Counselor | 1330 W 26th St Fl 2, Erie, PA 16508-1402 | 2006-10-24 |
| 1134237191 | Thad Joseph Scott | Marriage & Family Therapist | 1330 W 26th St Fl 2, Erie, PA 16508-1402 | 2006-08-29 |
| 1972517670 | Nancy Lynn Olszewski | Social Worker | 1330 W 26th St Fl 2, Erie, PA 16508-1402 | 2006-07-28 |
| 1568476315 | James Eugene Leri | Clinical Neuropsychologist | 1330 W 26th St Fl 2, Erie, PA 16508-1402 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417486705 | Robert Vance Danielson IIi | Specialist/Technologist | 3527 Maple St., Erie, PA 16508 | 2017-06-08 |
| 1336670785 | Judith Shaffer | Social Worker | 213 Gridley Ave, Erie, PA 16508 | 2017-03-27 |
| 1407253859 | Dr Natalie Teygart PC | Family Medicine | 939 West 38th St, Erie, PA 16508 | 2014-12-01 |
| 1417371311 | Psychological Health Services | Counselor | 956 West 38th Street, Erie, PA 16508 | 2014-02-12 |
| 1518210699 | Deerfield Behavioral Health, Inc. | Counselor | 2808 State Street, Erie, PA 16508 | 2012-10-26 |
| 1851675243 | Nutrition and Healing Center, Inc. | Chiropractor | 1455 West 38th Street, Suite 2, Erie, PA 16508 | 2011-10-04 |
| 1659659415 | Patricia Luisa Palotas | Counselor | 2170 West 32nd, Affinity Family Services, Inc, Erie, PA 16508 | 2011-07-28 |
| 1841581808 | Melissa M Wilson | Dietitian, Registered | 23 West 41st Street, Erie, PA 16508 | 2011-04-26 |
| 1649599374 | Amber A Kridler | Chiropractor | 1334 W. 26th St, Erie, PA 16508 | 2010-05-20 |
| 1023256427 | Christine Williamson | Occupational Therapist | 10 Summit Street, Erie, PA 16508 | 2009-01-23 |
| Find all providers in zip 16508 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518431915 | Katrina L Putnam | Social Worker | 101 East Avenue, Erie, PA 16507 | 2019-01-18 |
| 1760958839 | Aaron Joseph Hart | Social Worker | 1001 State St Ste 1300, Erie, PA 16501-1832 | 2018-10-16 |
| 1710476783 | Kamie Ann Laih | Social Worker | 630 Young Rd Apt 7, Erie, PA 16509-3180 | 2018-05-05 |
| 1518455922 | Melissa Linville-thatcher | Social Worker | 2564 W 12th St, Erie, PA 16505-4528 | 2018-05-01 |
| 1669986956 | Gregory John Purchase | Social Worker | 2221 Peninsula Dr Ste 105, Erie, PA 16506-2954 | 2017-11-22 |
| 1770092884 | Latasha Marie Phillips | Social Worker | 5100 Peach Street, Erie, PA 16509 | 2017-09-21 |
| 1336670785 | Judith Shaffer | Social Worker | 213 Gridley Ave, Erie, PA 16508 | 2017-03-27 |
| 1770036055 | Erica Ferraro | Social Worker | 2700 W 21st St Ste 27, Erie, PA 16506-2972 | 2016-08-03 |
| 1043685746 | Hollie Fortman | Social Worker | 6255 Telegraph Rd Lot 209, Erie, MI 48133-9440 | 2015-12-07 |
| 1356760607 | Judi Collard | Social Worker | 2208 Buttercup St, Erie, CO 80516-4053 | 2014-04-15 |
| Find all providers in ERIE | ||||
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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.