SUSAN D CLARK (NPI# 1285911149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285911149 |
| Entity Type | Individual |
| Full Name | SUSAN D CLARK |
| Credential | LCSW, MSW, ACSW |
| Practice Address |
25 N. Winfield Rd. Winfield IL 60190-1295 |
| Practice Telephone | 6309334847 |
| Practice Fax Number | 6309334558 |
| Mailing Telephone | 6309334847 |
| Mailing Fax Number | 6309334558 |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2013-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149004743 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE (INDIVIDUAL0 | F400093421 | 01 |
| IL | MEDICARE (GROUP) | 206147 | 01 |
| 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 |
25 N. WINFIELD RD. |
| City | WINFIELD |
| State | IL |
| Zip Code | 60190-1295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700876307 | Barbara Buttin | Obstetrics & Gynecology | 25 N. Winfield Rd., Winfield, IL 60190-1295 | 2005-10-25 |
| 1669713616 | Lindsay Stanek | Nurse Practitioner | 25 N. Winfield Rd., Winfield, IL 60190-1295 | 2013-03-14 |
| 1710261938 | Nicole Renee Rissman | Nurse Practitioner | 25 N. Winfield Rd., Winfield, IL 60190-1295 | 2011-10-06 |
| 1427378413 | Marc Josef Conte-russian | Internal Medicine | 25 N. Winfield Rd., Suite 419, Winfield, IL 60190 | 2010-06-02 |
| 1366675332 | James Matthew Towne | Internal Medicine | 25 N. Winfield Rd., Winfield, IL 60190-1295 | 2009-08-25 |
| 1215166723 | Alfredo Ceballos Jr. | Anesthesiology | 25 N. Winfield Rd., Dept of Anesthesia, Winfield, IL 60190 | 2009-07-06 |
| 1891943619 | Isis M Duran | Specialist | 25 N. Winfield Rd., Winfield, IL 60190-1295 | 2008-09-04 |
| 1851547194 | Carmel Lynn Goudzwaard | Internal Medicine | 25 N. Winfield Rd., Winfield, IL 60190-1295 | 2008-08-18 |
| 1679754642 | Julia Blaize Wilkinson | Internal Medicine | 25 N. Winfield Rd., Ste 103, Winfield, IL 60190 | 2007-11-19 |
| 1841498672 | Renato Ripamonti | Radiology | 25 N. Winfield Rd., Winfield, IL 60190 | 2007-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592256 | Kelly Marie Jung | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190 | 2019-08-07 |
| 1003379660 | Genevieve Goro | Speech-Language Pathologist | In220 Pleasant Hill Rd, Winfield, IL 60190 | 2019-04-10 |
| 1730670175 | Brian J Fischer | Physical Therapist | 26w228 Geneva Road, Winfield, IL 60190 | 2018-05-22 |
| 1730625500 | Johnson Medical Services S.c. | Family Medicine | 27 W 132 Barnes Ave/, Winfield, IL 60190 | 2017-01-17 |
| 1992253843 | Dr. Roy Settergren S.c. | Chiropractor | 27w123 Redbud Lane, Winfield, IL 60190 | 2016-09-20 |
| 1952855223 | Terri Hannemann | Nurse Practitioner | 25 North Winfield Road, Central Dupage Hospital, Winfield, IL 60190 | 2016-08-04 |
| 1154730737 | Cynthia Koeppen | Registered Nurse | 27w281 Winfield Rd, Winfield, IL 60190 | 2014-08-07 |
| 1992117634 | Jonathan Wang | Internal Medicine | 25 N Winfield Rd Ste 202, Winfield, IL 60190 | 2014-05-29 |
| 1689005977 | Erin Sands | Physician Assistant | 25 N Winfield Rd Ste 519, Winfield, IL 60190 | 2013-12-11 |
| 1790120285 | Clarity Health & Wellness | Social Worker | 1 N. 121 County Farm Road, Suite 220, Winfield, IL 60190 | 2013-05-09 |
| Find all providers in zip 60190 | ||||
| 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 |
|---|---|---|---|---|
| 1396393880 | Elizabeth Stewart Hanna | Social Worker | 1n141 County Farm Rd Ste 130, Winfield, IL 60190-2086 | 2019-08-28 |
| 1114386810 | Branches of Life LLC | Social Worker | 1 Fleetwood Dr, Winfield, KS 67156-5429 | 2016-02-23 |
| 1790120285 | Clarity Health & Wellness | Social Worker | 1 N. 121 County Farm Road, Suite 220, Winfield, IL 60190 | 2013-05-09 |
| 1881992774 | Julie Christine Franklin | Social Worker | 1 N. 121 County Farm Rd, Suite 220, Winfield, IL 60190 | 2011-03-02 |
| 1518278043 | Sally C Mccarthy | Social Worker | 210 Fleming Dr, Winfield, IL 60190 | 2010-06-30 |
| 1891018644 | James Matthew Gilligan | Social Worker | 0s125 Church St, Suite # 3, Winfield, IL 60190-1242 | 2010-03-08 |
| 1922321132 | Elena Melanie Wilson | Social Worker | 27w130 Roosevelt Rd Ste 203, Winfield, IL 60190-1643 | 2010-03-03 |
| 1043469604 | Anne M. Callanan | Social Worker | 27w 130 Roosevelt Rd., Suite 203, Winfield, IL 60190-1643 | 2008-09-18 |
| 1710155957 | Joyce Elaine Geiter | Social Worker | 27 W 130 Roosevelt Rd, Suite 203, Winfield, IL 60190-1643 | 2008-02-11 |
| 1619163821 | Julia Friesen | Social Worker | 27w140 Roosevelt Rd, Ste 206, Winfield, IL 60190-1642 | 2007-09-20 |
| Find all providers in WINFIELD | ||||
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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.