DIANE CLARK LLC (NPI# 1194358895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194358895 |
| Entity Type | Organization |
| Organization Name | DIANE CLARK LLC |
| Practice Address |
1445 Anderson Ave Manhattan KS 66502-4030 |
| Practice Telephone | 7853333793 |
| Mailing Telephone | 7853333793 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | DIANE CLARK (OWNER) |
| Authorized Official Telephone | 7853333793 |
| Authorized Official Credential | LSCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Ethos Therapy and Life Coaching | Doing Business As Name - Organization |
| Street Address |
1445 ANDERSON AVE |
| City | MANHATTAN |
| State | KS |
| Zip Code | 66502-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184232217 | Rebecca Anne Cherry | Marriage & Family Therapist | 1506 Browning Avenue, Suite 107, Manhattan, KS 66502 | 2020-07-15 |
| 1992334361 | Lorin C Kelly | Counselor | 201 South 4th Street, Suite C5, Manhattan, KS 66502 | 2020-04-07 |
| 1306487947 | Emily Trausch | Specialist/Technologist | 18 Ahearn Fieldhouse, Manhattan, KS 66502 | 2019-10-04 |
| 1730741018 | Jessica Caroline Kostroske | Speech-Language Pathologist | 2031 Poyntz Avenue, Manhattan, KS 66502 | 2019-07-08 |
| 1962968420 | Sarah C Siders | Social Worker | 1506 Browning Avenue #107, Manhattan, KS 66502 | 2019-02-20 |
| 1215408331 | Sara E Gotchey | Registered Nurse | 2100 Claflin Rd, Manhattan, KS 66502 | 2018-12-16 |
| 1306315601 | Gail Elizabeth Webster | Midwife, Lay | 2106 Timber Creek Dr, Manhattan, KS 66502 | 2018-11-15 |
| 1972021525 | Patience Ivy | Student in an Organized Health Care Education/Training Program | 1615 Denison Ave, Apt 211, Manhattan, KS 66502 | 2017-09-05 |
| 1578086252 | Alexa Jean Sharr | Physician Assistant | 1404 Beechwood Ter Ste C and D, Manhattan, KS 66502 | 2017-07-25 |
| 1790226702 | Mackenzie Getz | Student in an Organized Health Care Education/Training Program | 2465 Vaughn Dr, Manhattan, KS 66502 | 2017-03-10 |
| Find all providers in zip 66502 | ||||
| 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 |
|---|---|---|---|---|
| 1013441609 | Heather Rose Heigert | Social Worker | 1115 Westport Dr # D2, Manhattan, KS 66502-2880 | 2017-04-20 |
| 1275913774 | Glee Lenelle Dunbar | Social Worker | 108 W Main St Unit 202, Manhattan, MT 59741-2353 | 2015-06-01 |
| 1245661834 | Jessica Manny Flynn | Social Worker | 323 Poyntz Ave Ste 101, Manhattan, KS 66502-6387 | 2013-12-06 |
| 1467704577 | Morgan Leigh Pacheco | Social Worker | 1841 Broadway Street, 4th Floor, Manhattan, NY 10023 | 2012-10-12 |
| 1477808103 | Yuberkys Cabrera | Social Worker | 3940broadway 2fl, Manhattan, NY 10032 | 2012-07-18 |
| 1730485806 | Wellness With Pat | Social Worker | 2048 Stephen Ct, Manhattan, KS 66503-7590 | 2011-02-07 |
| 1356645501 | Lindsay Marie Smith | Social Worker | 304 Harvey Cir, Manhattan, KS 66502-4818 | 2011-01-03 |
| 1093021180 | Jessica R Courser | Social Worker | 322 Kearney St, Manhattan, KS 66502-5666 | 2010-08-26 |
| 1699944637 | Michelle Yvonne Houston | Social Worker | 3000 Shaffer St, Manhattan, KS 66503-2826 | 2008-02-25 |
| 1497933824 | Barbara Bowman | Social Worker | 423east23rd Street, Manhattan, NY 10010 | 2008-02-07 |
| Find all providers in MANHATTAN | ||||
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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.