MR. ERIC CHARLES CLARK (NPI# 1295283430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295283430 |
| Entity Type | Individual |
| Full Name | MR. ERIC CHARLES CLARK |
| Credential | LLBSW |
| Practice Address |
1608 Lake St Kalamazoo MI 49001-3170 |
| Practice Telephone | 2693440202 |
| Practice Fax Number | 2693732939 |
| Mailing Telephone | 2693440202 |
| Mailing Fax Number | 2693732939 |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6802088506 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457917767 | Eric Clark | Dentist | 2597 Schoenersville Rd # A&301b, Bethlehem, PA 18017-7325 | 2019-05-13 |
| 1558429241 | Eric Walter Clark | Family Medicine | Mtsu Student Health, 1500 Greenland Ave Box 237, Murfreesboro, TN 37132-0001 | 2006-12-05 |
| 1780751453 | Eric M Clark | Chiropractor | 500 San Juan St, Trinidad, CO 81082-2517 | 2006-11-29 |
| 1679173710 | Eric Deon Clark | Counselor | 433 Turk St, San Francisco, CA 94102-3329 | 2020-10-28 |
| 1013553494 | Eric Christopher Clark | Registered Nurse | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2019-11-21 |
| 1043777204 | Eric Clark | Social Worker | 2711 Colonial Dr, Columbia, SC 29203-6818 | 2019-02-25 |
| 1740752260 | Eric Delancey Clark | Social Worker | 12 Southern Ave, Boston, MA 02124-2012 | 2018-12-21 |
| 1912496282 | Eric B Clark Jr. | Chiropractor | 10725 Abercorn St Apt 143, Savannah, GA 31419-1441 | 2018-05-02 |
| 1508370610 | Eric Robert Clark | Social Worker | 1131 Broadway St, Buffalo, NY 14212-1501 | 2017-11-28 |
| 1588194583 | Eric Vinceson Clark Sr. | Counselor | 404 Hearne Ave, Shreveport, LA 71103-2022 | 2017-06-13 |
| Street Address |
1608 LAKE ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49001-3170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881650059 | Margie R. Cigoy | Psychologist | 1608 Lake St, Kalamazoo, MI 49001-3170 | 2006-04-25 |
| 1255942306 | Shana Stout | Counselor | 1608 Lake St, Kalamazoo, MI 49001-3170 | 2020-08-12 |
| 1316589575 | Esther Garcia | Counselor | 1608 Lake St, Kalamazoo, MI 49001-3170 | 2019-10-09 |
| 1376109603 | Jasmin Chrzan | Counselor | 1608 Lake St, Kalamazoo, MI 49001-3170 | 2019-05-13 |
| 1376108829 | David S Gamble | Counselor | 1608 Lake St, Kalamazoo, MI 49001-3170 | 2019-05-09 |
| 1184180804 | Justin Hutchison | Social Worker | 1608 Lake St, Kalamazoo, MI 49001-3170 | 2019-02-19 |
| 1518437433 | Nicole Pominville | Counselor | 1608 Lake St, Kalamazoo, MI 49001-3170 | 2018-12-04 |
| 1588148928 | Anna Luna Birdsall | Social Worker | 1608 Lake St, Kalamazoo, MI 49001-3170 | 2018-09-21 |
| 1750809315 | Jennifer Lindsay | Social Worker | 1608 Lake St, Kalamazoo, MI 49001-3170 | 2017-09-05 |
| 1457876708 | Kathleen Ann Pyatt | Social Worker | 1608 Lake St, Kalamazoo, MI 49001-3170 | 2017-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568004372 | Tiffany Malory | Counselor | 2030 Portage St., Kalamazoo, MI 49001 | 2019-10-14 |
| 1770050502 | Trevor F Eisaman | Chiropractor | 1324 S Park St Suite #3, Kalamazoo, MI 49001 | 2018-10-30 |
| 1104318369 | Marathon Health LLC | Nurse Practitioner | 3520 Covington Rd, Kalamazoo, MI 49001 | 2018-06-04 |
| 1407374580 | Joel Damian Burnett | Counselor | 401 Howard St., Kalamazoo, MI 49001 | 2017-09-08 |
| 1538686449 | Amber Dawn Beauchamp | Counselor | 401 S. Howard St., Kalamazoo, MI 49001 | 2017-08-23 |
| 1740645381 | Integrated Spine and Pain Center Pllc | Durable Medical Equipment & Medical Supplies | 1324 S. Park Street, Kalamazoo, MI 49001 | 2015-12-28 |
| 1366825317 | Abigail Rose Franklin- Bly | Social Worker | 1608 Lake St., Kalamazoo, MI 49001 | 2015-07-08 |
| 1194108142 | Glenn Pohl | Social Worker | 1608 Lake Street, Kalamazoo, MI 49001 | 2015-07-08 |
| 1285996850 | Aisha Coulson-walters | Social Worker | 1501 Fulford St, Kalamazoo, MI 49001 | 2012-06-11 |
| 1912279282 | Custom Carelink, L.L.C. | Home Health | 2300 Portage St., Apt. 127, Kalamazoo, MI 49001 | 2012-02-02 |
| Find all providers in zip 49001 | ||||
| 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 |
|---|---|---|---|---|
| 1215543723 | Brittany Nelson | Social Worker | 1940 Howard St Apt 537, Kalamazoo, MI 49008-1267 | 2020-09-20 |
| 1689284788 | Valerie Marie Mcnamara | Social Worker | 487 S Drake Rd Ste B, Kalamazoo, MI 49009-3236 | 2020-08-04 |
| 1932766136 | Christine Sue Heffron | Social Worker | 5360 Holiday Ter Ste 32, Kalamazoo, MI 49009-2126 | 2019-05-22 |
| 1013481084 | Natalie Louise White | Social Worker | 2525 Frederick Ave, Kalamazoo, MI 49008-2149 | 2019-01-14 |
| 1487127205 | Emily Betros | Social Worker | 4341 S Westnedge Ave Ste 2106, Kalamazoo, MI 49008-3286 | 2019-01-03 |
| 1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
| 1437699659 | Logan Stout | Social Worker | 1536 Gull Rd, Kalamazoo, MI 49048-1621 | 2017-03-07 |
| 1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
| 1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
| 1881140879 | Amy Raterink | Social Worker | 414 S Burdick St Ste 200, Kalamazoo, MI 49007-6219 | 2016-08-30 |
| Find all providers in KALAMAZOO | ||||
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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.