MISS SUSAN GAIEEN CLARK (NPI# 1275834673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275834673 |
| Entity Type | Individual |
| Full Name | MISS SUSAN GAIEEN CLARK |
| Credential | LCSW |
| Practice Address |
627 N Evans St Mcminnville OR 97128-3923 |
| Mailing Address |
1232 Ne 27th St Mcminnville OR 97128-2331 |
| Practice Telephone | 5034347527 |
| Mailing Telephone | 5412271060 |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
904006311 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161950 | Susan Marie Clark | Nurse Practitioner | 674 Coral Way, Winter Springs, FL 32708-3127 | 2020-07-09 |
| 1528591575 | Susan Clark | Counselor | 604 S Walnut, Stillwater, OK 74074-4222 | 2017-04-06 |
| 1790178556 | Susan March Clark | Peer Specialist | 3277 E 2nd St, Tulsa, OK 74104-2134 | 2015-03-17 |
| 1841537990 | Susan Noble Clark | Developmental Therapist | 1730 Radcliffe Rd, Montgomery, AL 36106-2620 | 2013-01-09 |
| 1881963411 | Susan Clark | Occupational Therapy Assistant | 38 Wheeler Ave, Warwick, NY 10990-1341 | 2011-12-28 |
| 1437302684 | Susan Maslin Clark | Chiropractor | 20416 Bowfonds St, Ashburn, VA 20147-7457 | 2008-11-01 |
| 1871780940 | Susan Marie Clark | Counselor | 112 S Water St Ste B, Kent, OH 44240-3689 | 2007-10-02 |
| 1750403861 | Susan M Clark | Psychologist | 1022 Cherokee Ave, Royal Oak, MI 48067 | 2007-04-06 |
| 1598892085 | Susan L Clark | Psychiatry & Neurology | 9515 60th Ave W, Mukilteo, WA 98275 | 2007-02-28 |
| 1609968692 | Susan M Clark | Pediatrics | 1318 S Main Road, Vineland, NJ 08360 | 2006-09-28 |
| Street Address |
627 N EVANS ST |
| City | MCMINNVILLE |
| State | OR |
| Zip Code | 97128-3923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043419757 | Randy Peterson | Registered Nurse | 627 N Evans St, Mcminnville, OR 97128-3923 | 2007-07-12 |
| 1063658821 | Aida Apple | Registered Nurse | 627 N Evans St, Mcminnville, OR 97128-3923 | 2008-12-29 |
| 1740454206 | Tom Weinstock-blair | Social Worker | 627 N Evans St, Mcminnville, OR 97128-3923 | 2008-04-16 |
| 1912182569 | Elizabeth Downs | Social Worker | 627 N Evans St, Mcminnville, OR 97128-3923 | 2008-01-02 |
| 1801086095 | Prairie Oak | Case Manager/Care Coordinator | 627 N Evans St, Mcminnville, OR 97128-3923 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
| 1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
| 1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| Find all providers in zip 97128 | ||||
| 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 |
|---|---|---|---|---|
| 1003245242 | Jes Dimas | Social Worker | 315 Ne Evans St Ste 3, Mcminnville, OR 97128-4627 | 2013-11-07 |
| 1699016246 | Heather Jane Johnson | Social Worker | 234 Sw Eckman St, Mcminnville, OR 97128-5752 | 2013-03-06 |
| 1659619534 | Charity Parker Mcmackins | Social Worker | 107 N Spring St, Mcminnville, TN 37110-2531 | 2013-01-28 |
| 1245500800 | Jennifer Ann Strunk | Social Worker | 306 N. Chancery Street, Mcminnville, TN 37110 | 2012-01-12 |
| 1366719510 | Rachel April Peterson | Social Worker | 82 Amber Ln, Mcminnville, TN 37110-5357 | 2011-11-16 |
| 1083841878 | Julie C. Siepmann | Social Worker | 1075 Se Cedarwood Ave, Mcminnville, OR 97128-0216 | 2009-06-18 |
| 1376784736 | Dawn L Yelk | Social Worker | 4000 Ne Riverside Loop, Mcminnville, OR 97128-8431 | 2009-03-16 |
| 1275794141 | Kathryn Lynn Mork Strobel | Social Worker | 315 N Evans St, Suite #2, Mcminnville, OR 97128-4627 | 2008-06-23 |
| 1790978641 | Charlen Masey | Social Worker | 619 E 3rd St, Mcminnville, OR 97128-4518 | 2007-08-23 |
| 1831316850 | Amy Elizabeth Halloran-steiner | Social Worker | 707 Ne 5th St, Mcminnville, OR 97128-4508 | 2007-04-19 |
| Find all providers in MCMINNVILLE | ||||
| City | MCMINNVILLE |
| Zip Code | 97128 |
Please comment or provide details below to improve the information on MISS SUSAN GAIEEN CLARK.
| 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.