SAMANTHA R CLARK (NPI# 1225525298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225525298 |
| Entity Type | Individual |
| Full Name | SAMANTHA R CLARK |
| Credential | BS |
| Practice Address |
Juneau County Dept. of Human Services 200 Hickory Street Mauston WI 53948-2101 |
| Practice Telephone | 6088472400 |
| Practice Fax Number | 6088479599 |
| Mailing Telephone | 6088472400 |
| Mailing Fax Number | 6088479599 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |
| 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 |
|---|---|---|---|---|
| 1710593462 | Samantha Clark | Student in an Organized Health Care Education/Training Program | 182 Chickasaw Trl, Pontotoc, MS 38863-8857 | 2020-09-18 |
| 1285268177 | Samantha Fay Clark | Behavior Technician | 990d Klamath Ln, Yuba City, CA 95993-8961 | 2020-02-28 |
| 1699186841 | Samantha Clark | Obstetrics & Gynecology | 224 W Exchange St Ste 420, Akron, OH 44302-1718 | 2014-05-09 |
| 1225636442 | Samantha Clark | Pharmacist | 3914 Capital Blvd, Raleigh, NC 27604-3412 | 2020-10-09 |
| 1902430630 | Samantha Clark | Behavior Technician | 1620 N Main St Ste 1, Walnut Creek, CA 94596-4653 | 2020-03-03 |
| 1366081036 | Samantha Clark | Case Manager/Care Coordinator | 801 Hazen St Ste C, Paw Paw, MI 49079-2008 | 2019-12-30 |
| 1144869900 | Samantha Jane Clark | Pharmacist | 330 Pine Tree Rd, Ithaca, NY 14850-2819 | 2019-12-26 |
| 1548816630 | Samantha Clark | Occupational Therapist | 1797 King Ave, Kings Mills, OH 45034-1721 | 2019-08-14 |
| 1871154443 | Samantha Jeanine Clark | Marriage & Family Therapist | 2621 Oswell St Ste 119, Bakersfield, CA 93306-3172 | 2019-06-25 |
| 1902460710 | Samantha Leigh Clark | Specialist | 9 Vose Farm Rd Ste 120, Peterborough, NH 03458-2154 | 2019-04-26 |
| Street Address |
JUNEAU COUNTY DEPT. OF HUMAN SERVICES 200 HICKORY STREET |
| City | MAUSTON |
| State | WI |
| Zip Code | 53948-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114557691 | Paige Odegard | Case Manager/Care Coordinator | Juneau Co. Dept of Human Services, 200 Hickory Street, Mauston, WI 53948 | 2020-01-23 |
| 1083934418 | Brandon J Valgardson | Dentist | 880 Herriott Drive, Mauston, WI 53948 | 2010-06-08 |
| 1235451204 | Robin Adair Thompson | Dental Hygienist | 880 Herriot Drive, Mauston, WI 53948 | 2010-02-18 |
| 1114169943 | Ptworks LLC | Clinic/Center | 690 Kennedy Street, Mauston, WI 53948 | 2009-03-25 |
| 1609901529 | Mary Ann Brown | Physical Therapy Assistant | N3334 Hwy 58, Mauston, WI 53948 | 2007-02-22 |
| 1497809412 | Bobbi Eckerman | Occupational Therapist | 1050 Division St., Mauston, WI 53948 | 2007-01-23 |
| 1215092820 | Patrick Michael Mccormick | Dentist | 510 E State St, Mauston, WI 53948 | 2006-12-26 |
| 1093772287 | Ann Marie June | Social Worker | Juneau County Dept of Human Services, 200 Hickory St, Mauston, WI 53948 | 2006-05-01 |
| 1740252857 | Phillips Drug Store, Inc. | Pharmacy | 123 E State St, Mauston, WI 53948 | 2006-02-02 |
| 1336781574 | Leah Bernadette Doughty | Physician Assistant | 1050 Division St, Urgent Care/ed, Mauston, WI 53948 | 2019-10-09 |
| Find all providers in zip 53948 | ||||
| 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 |
|---|---|---|---|---|
| 1114557691 | Paige Odegard | Case Manager/Care Coordinator | Juneau Co. Dept of Human Services, 200 Hickory Street, Mauston, WI 53948 | 2020-01-23 |
| 1649748997 | Leanna Hagen | Case Manager/Care Coordinator | 200 Hickory Street, Mauston, WI 53948-2101 | 2018-11-05 |
| 1790204287 | Natasha A Jones | Case Manager/Care Coordinator | Juneau County Dept of Human Services, 200 Hickory St, Mauston, WI 53948 | 2017-09-15 |
| 1275904856 | Erica R Baldwin | Case Manager/Care Coordinator | Juneau County Dept of Human Services, 200 Hickory St, Mauston, WI 53948 | 2015-10-08 |
| 1326422718 | Erika J Roberts | Case Manager/Care Coordinator | Juneau County Dept of Human Services, 200 Hickory St, Mauston, WI 53948 | 2015-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508730 | Andrew Vale | Case Manager/Care Coordinator | 503 E Ives St Ste 201, Marshfield, WI 54449-1577 | 2020-11-06 |
| 1275132946 | Alice M Franks-gray | Case Manager/Care Coordinator | Esu/bayside/crisis Stabilization, 702 W Main Street, Madison, WI 53715-1424 | 2020-10-22 |
| 1134734338 | Alexis Young | Case Manager/Care Coordinator | 115 N 6th St Stop 1, Wausau, WI 54403-5519 | 2020-09-14 |
| 1750996518 | Prevale S Mclin | Case Manager/Care Coordinator | 6096 N Hopkins St, Milwaukee, WI 53209-3558 | 2020-09-09 |
| 1538771712 | Monet Smith | Case Manager/Care Coordinator | 5831 W Burleigh St, Milwaukee, WI 53210-1517 | 2020-08-19 |
| 1770195331 | Taylor Ann Halmstad | Case Manager/Care Coordinator | 1651 College Ave Apt 1, Stevens Point, WI 54481-3085 | 2020-08-17 |
| 1942811690 | Angelina Sheree Jones | Case Manager/Care Coordinator | 5248 N 26th St, Glendale, WI 53209-4927 | 2020-08-14 |
| 1174131973 | Dakisha Delaney | Case Manager/Care Coordinator | 2456 N 41st St, Milwaukee, WI 53210-2932 | 2020-07-17 |
| 1528686342 | Dejuana Farmer | Case Manager/Care Coordinator | 2868 N 41st St, Milwaukee, WI 53210-1810 | 2020-07-08 |
| 1598381915 | Errica Braun | Case Manager/Care Coordinator | 4 N Hancock St, Madison, WI 53703-2802 | 2020-06-22 |
| Find all providers with the same taxonomy | ||||
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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.