CAROL CLARK (NPI# 1215441936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215441936 |
| Entity Type | Individual |
| Full Name | CAROL CLARK |
| Credential | BA PSYCHOLOGY |
| Practice Address |
1095 Sugarview Dr Sheridan WY 82801-5386 |
| Practice Telephone | 3076752272 |
| Mailing Telephone | 3076752272 |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2017-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336520295 | Carol H Clark | Psychologist | 210 Lowry St, Kerrville, TX 78028-5274 | 2015-06-16 |
| 1669656450 | Carol T Clark | Case Management | 300 East Walnut, Suite 200, Pasadena, CA 91101 | 2007-12-28 |
| 1477606044 | Carol L Clark | Counselor | 11651 W Biscayne Canal Rd, Miami, FL 33161-6132 | 2007-01-18 |
| 1053343681 | Carol Shelby Clark | Occupational Therapist | 1647 Mallory Ln, Suite 103, Brentwood, TN 37027-2909 | 2006-07-06 |
| 1649734310 | Carol Riley Clark | Pharmacist | 621 Commerce St, Earle, AR 72331-1616 | 2019-01-28 |
| 1265938302 | Carol Clark | Counselor | 2311 E 98th St, Chicago, IL 60617-4842 | 2018-04-05 |
| 1255783940 | Carol Clark | Social Worker | 3125 Poplarwood Ct, Raleigh, NC 27604-1084 | 2016-07-06 |
| 1235503004 | Carol Jones Clark | Speech-Language Pathologist | 550 Roselawn Ave E, Maplewood, MN 55117-2120 | 2015-11-17 |
| 1790192144 | Carol Clark | Massage Therapist | 10 N Roselle Rd, Roselle, IL 60172-1592 | 2014-07-17 |
| 1528484466 | Carol Clark | Social Worker | 1701 White St, Mccomb, MS 39648-2711 | 2014-03-17 |
| Street Address |
1095 SUGARVIEW DR |
| City | SHERIDAN |
| State | WY |
| Zip Code | 82801-5386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255521142 | Kassahn Mathson | Case Manager/Care Coordinator | 1095 Sugarview Dr, Sheridan, WY 82801-5386 | 2007-07-27 |
| 1487162855 | Aundrea Michelle Harding | Case Manager/Care Coordinator | 1095 Sugarview Dr, Sheridan, WY 82801-5386 | 2018-01-18 |
| 1487163739 | Louann Larsen | Case Manager/Care Coordinator | 1095 Sugarview Dr, Sheridan, WY 82801-5386 | 2017-09-28 |
| 1568990307 | Tifany Rose Resser | Case Manager/Care Coordinator | 1095 Sugarview Dr, Sheridan, WY 82801-5386 | 2017-05-24 |
| 1285174714 | Compass - Center for Families | Voluntary or Charitable | 1095 Sugarview Dr, Sheridan, WY 82801-5386 | 2017-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1013552082 | Bonnie Bowman Schlesselman | Occupational Therapy Assistant | 1851 Big Horn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-13 |
| 1790320976 | Jory Lee Turk | Physical Therapy Assistant | 1851 Bighorn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-12 |
| 1356901532 | Kelsi Marie Martinez | Speech-Language Pathologist | 376 W Brundage St, Sheridan, WY 82801 | 2019-06-19 |
| 1841760410 | Christopher Michael Evans | Peer Specialist | 1221 W 5th Street, Sheridan, WY 82801 | 2018-11-27 |
| 1922582402 | Wyoming Eye Surgeons | Ophthalmology | 36 N. Gould St., Suite 2a, Sheridan, WY 82801 | 2018-09-20 |
| 1700368164 | Ashly Rose Garretson | Case Manager/Care Coordinator | 616 W 10th, Sheridan, WY 82801 | 2018-09-02 |
| 1053805382 | Sheridan Peak Wellness | Nutritionist | 740 S. Thurmond St., Sheridan, WY 82801 | 2018-06-20 |
| 1275040636 | Amber Van Dyke | Case Management | 757 Hwy 14 E, Sheridan, WY 82801 | 2018-01-08 |
| 1689103046 | Laura L Burrell | Case Manager/Care Coordinator | 151 W Brundage Street, Sheridan, WY 82801 | 2017-06-08 |
| Find all providers in zip 82801 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831719418 | Stephen R Crayton | Case Manager/Care Coordinator | 1950 N Main St, Sheridan, WY 82801-2506 | 2020-04-23 |
| 1609408079 | Kavee Holwell | Case Manager/Care Coordinator | 1981 Double Eagle Dr, Sheridan, WY 82801-2132 | 2020-02-04 |
| 1174166003 | Melissa Ann Bryant | Case Manager/Care Coordinator | 1742 Poplar Trl, Sheridan, WY 82801-3173 | 2019-10-23 |
| 1578106654 | Amy Lynn Hammontree | Case Manager/Care Coordinator | 1981 Double Eagle Dr Ste B, Sheridan, WY 82801-2132 | 2019-10-22 |
| 1700368164 | Ashly Rose Garretson | Case Manager/Care Coordinator | 616 W 10th, Sheridan, WY 82801 | 2018-09-02 |
| 1689103046 | Laura L Burrell | Case Manager/Care Coordinator | 151 W Brundage Street, Sheridan, WY 82801 | 2017-06-08 |
| 1497284830 | Mia Shifrar | Case Manager/Care Coordinator | 151 W. Brundage Street, Sheridan, WY 82801 | 2017-06-08 |
| 1184158883 | Ashley Marie Emig | Case Manager/Care Coordinator | 2200 W 5th St Apt 203, Sheridan, WY 82801-3293 | 2017-04-19 |
| 1316484231 | Rachel Reed | Case Manager/Care Coordinator | 3322 Strahan Pkwy, Sheridan, WY 82801-9162 | 2017-01-30 |
| 1376907055 | Angela M. Zugel | Case Manager/Care Coordinator | 820 Olive St, Sheridan, WY 82801-4938 | 2016-04-08 |
| Find all providers in SHERIDAN | ||||
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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.