MELISSA CLARK (NPI# 1245764638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245764638 |
| Entity Type | Individual |
| Full Name | MELISSA CLARK |
| Credential | ASW |
| Practice Address |
2906 F St Unit 6860 Eureka CA 95502-4101 |
| Mailing Address |
Po Box 1006 Blue Lake CA 95525-1006 |
| Practice Telephone | 7078458737 |
| Practice Fax Number | 7078458737 |
| Mailing Telephone | 2088189058 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | LMSW-36034 | ID | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | ASW76036 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902336753 | Melissa Lynn Clark | Audiologist | 69 Allen St Ste 1, Rutland, VT 05701-4564 | 2017-06-14 |
| 1861843328 | Melissa Clark | Case Manager/Care Coordinator | 21 Seneca Dr, Horseheads, NY 14845-1082 | 2016-06-27 |
| 1982054862 | Melissa A Clark | Social Worker | 3142 W Fullerton Ave Apt 1, Chicago, IL 60647-7997 | 2016-06-21 |
| 1518236900 | Melissa Yvonne Clark | Counselor | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2011-12-14 |
| 1063799682 | Melissa Newkam Clark | Occupational Therapist | 5745 Old Winder Hwy Ste C, Braselton, GA 30517-1637 | 2011-11-10 |
| 1114160199 | Melissa Ann Clark | Licensed Practical Nurse | 113 Cheney St, Syracuse, NY 13207 | 2009-04-07 |
| 1902084858 | Melissa Clark | Registered Nurse | 3251 West 9th Street, Waterloo, IA 50702 | 2008-02-02 |
| 1447462189 | Melissa Kipp Clark | Audiologist | 5304 Manatee Ave W, Bradenton, FL 34209-3743 | 2007-05-04 |
| 1548398506 | Melissa Darlene Clark | Licensed Practical Nurse | 105 Waverly Plz, Waverly, TN 37185-1531 | 2007-03-01 |
| 1760546428 | Melissa Ann Clark | Speech-Language Pathologist | 520 Grange Rd, Cave City, AR 72521 | 2006-12-20 |
| Street Address |
2906 F ST UNIT 6860 |
| City | EUREKA |
| State | CA |
| Zip Code | 95502-4101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365389 | Camila Alaasam | Social Worker | 2145 Myrtle Ave # 3323, Eureka, CA 95501-3323 | 2020-10-29 |
| 1922606565 | Abigail Yarus | Massage Therapist | 204 Dewey Ave, Eureka, MT 59917-9046 | 2020-10-15 |
| 1245837921 | Wendy Velicer | Counselor | 208 N Central Ave Ste D, Eureka, MO 63025-1850 | 2020-10-06 |
| 1801493804 | Autumn Benedetti | Social Worker | 43 Baron Ln, Eureka, MT 59917-9021 | 2020-10-03 |
| 1669090056 | Carrie Moses | Behavioral Analyst | 3347 California St, Eureka, CA 95503-5166 | 2020-07-11 |
| 1720604226 | Healing Journey Psychiatry Pllc | Community/Behavioral Health | 99 Mills Spring Rd Ste 6, Eureka, MT 59917-9773 | 2020-06-19 |
| 1730705526 | Claire Ajina | Psychologist | 3009 Hubbard Ln Ste F, Eureka, CA 95501-4801 | 2020-06-18 |
| 1538784707 | Tiffany Cherie Hall | Counselor | 1219 10th St, Eureka, CA 95501-2024 | 2020-06-12 |
| 1831713452 | Open Door Community Health Centers | Clinic/Center | 622 H St, Eureka, CA 95501-1026 | 2020-05-29 |
| 1063035079 | Chris Sandwell | Counselor | 67 Muir St, Eureka, MO 63025-1131 | 2020-05-26 |
| Find all providers in EUREKA | ||||
| 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 |
|---|---|---|---|---|
| 1689233686 | Kristina Rene Gonzalez | Social Worker | 434 7th St Ste 210, Eureka, CA 95501-1803 | 2019-06-12 |
| 1669759783 | Elizabeth Reinberg | Social Worker | 4525 Highway 109, Eureka, MO 63025-1248 | 2011-11-03 |
| 1134376908 | Melissa Lou Koerner | Social Worker | 10 W 7th St, Eureka, CA 95501 | 2008-08-25 |
| 1528104940 | Jerry Anthony Freitas | Social Worker | 1100 California St, Eureka, CA 95501-1621 | 2007-01-30 |
| 1174618441 | Darren A. Welch | Social Worker | 714 F Street, Eureka, CA 95501 | 2006-10-04 |
| 1548829674 | Shin Mi Luong | Social Worker | 922 E St Ste 202, Eureka, CA 95501-1873 | 2019-06-12 |
| 1285090969 | Heather King | Social Worker | 109 4th St, Eureka, CA 95501-0325 | 2016-01-11 |
| 1992010193 | Trey J Polesky | Social Worker | 2910 Harris St, Eureka, CA 95503-4811 | 2010-08-11 |
| 1114258662 | Linda Marie O'hara-scott | Social Worker | 720 Wood St, Eureka, CA 95501-4413 | 2010-01-22 |
| 1497905582 | Hanell Thompson | Social Worker | 1910 California St, Eureka, CA 95501-2870 | 2008-09-24 |
| Find all providers in EUREKA | ||||
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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.