JACQUELINE KLOCK (NPI# 1295375848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295375848 |
| Entity Type | Individual |
| Full Name | JACQUELINE KLOCK |
| Practice Address |
314 Alfred St Biddeford ME 04005-3102 |
| Mailing Address |
197 S Waterboro Rd Lyman ME 04002-7318 |
| Practice Telephone | 2072162637 |
| Mailing Telephone | 2076046922 |
| Enumeration Date | 2020-01-12 |
| Last Update Date | 2020-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
MC18067 | ME | Behavioral Health & Social Service Providers |
| Street Address |
314 ALFRED ST |
| City | BIDDEFORD |
| State | ME |
| Zip Code | 04005-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578895280 | Suzanne Marie Sprague | Massage Therapist | 314 Alfred St, Biddeford, ME 04005-3102 | 2010-02-04 |
| 1932706983 | Kylie Findlay | Counselor | 314 Alfred St, Biddeford, ME 04005-3102 | 2020-10-02 |
| 1508470279 | Allison J Engelhardt | Social Worker | 314 Alfred St, Biddeford, ME 04005-3102 | 2020-09-01 |
| 1437769049 | Madelyn Alexandra Sauget | Social Worker | 314 Alfred St, Biddeford, ME 04005-3102 | 2020-08-07 |
| 1336759398 | Eva Behan Light | Counselor | 314 Alfred St, Biddeford, ME 04005-3102 | 2020-08-05 |
| 1306475496 | Rebecca Leigh Brown | Counselor | 314 Alfred St, Biddeford, ME 04005-3102 | 2020-04-02 |
| 1073153672 | Mallory Nicole Grobe | Counselor | 314 Alfred St, Biddeford, ME 04005-3102 | 2020-01-10 |
| 1114567807 | Timothy Fuller | Social Worker | 314 Alfred St, Biddeford, ME 04005-3102 | 2020-01-09 |
| 1730644675 | Glenn John Simpson | Counselor | 314 Alfred St, Biddeford, ME 04005-3102 | 2019-02-05 |
| 1154790814 | Stacy Marissa Farese | Counselor | 314 Alfred St, Biddeford, ME 04005-3102 | 2015-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600479 | Hilary Mitchell-clark | Massage Therapist | 311 Alfred St. Massage Craft, Biddeford, ME 04005 | 2018-12-16 |
| 1598266793 | Galicia Fryzlewicz | Physical Medicine & Rehabilitation | 11 Hills Beach Road, Biddeford, ME 04005 | 2018-02-22 |
| 1487175550 | Emily Abbie Burns | Dentist | 125-126 Shops Way, Biddeford, ME 04005 | 2017-06-29 |
| 1811365513 | Sarah D. Shepherd, D.o.llc | Clinic/Center | 27 Wadlin Road, Biddeford, ME 04005 | 2015-09-11 |
| 1598012213 | Shayne Mcmahon Foley | Physician Assistant | 1 Medial Center Drive, Biddeford, ME 04005 | 2012-08-13 |
| 1174807374 | Justin Clark Cialfi | Counselor | 6d Wellspring Road, Biddeford, ME 04005 | 2011-10-06 |
| 1689981763 | Ann Burton | Physical Therapist | 4 Autumn Ln, Biddeford, ME 04005 | 2010-09-09 |
| 1164733978 | Christopher Patrick Blomberg | Internal Medicine | 9 Healthcare Dr Ste 105, Biddeford, ME 04005 | 2010-06-25 |
| 1821324815 | Oceanside Community Services | Community/Behavioral Health | 22 W Cole Rd Ste 103, Biddeford, ME 04005 | 2009-10-26 |
| 1386979383 | New Communities, Inc. | Assisted Living Facility | 2 Dartmouth Street, Biddeford, ME 04005 | 2009-10-08 |
| Find all providers in zip 04005 | ||||
| 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 |
|---|---|---|---|---|
| 1528567492 | Rise for Wellness, LLC | Social Worker | 15 York St Bldg 9, Suite 201c, Biddeford, ME 04005-5532 | 2018-02-06 |
| 1548662117 | Kasey Belcher | Social Worker | 15 York St Bldg 19, Suite 201, Biddeford, ME 04005-5507 | 2014-09-25 |
| 1184039083 | Leah Walsh | Social Worker | 462 Main St # 1, Biddeford, ME 04005-2119 | 2014-06-30 |
| 1558619742 | Shannon Lea Taylor | Social Worker | 40 Main St Bldg 13, Biddeford, ME 04005-5178 | 2012-08-21 |
| 1841589579 | Perry Sam Sutherland | Social Worker | 18 Maplewood Ave, Biddeford, ME 04005-2110 | 2011-04-04 |
| 1043420631 | Virginia Deluca | Social Worker | 497 Elm St, Biddeford, ME 04005-4217 | 2007-05-23 |
| 1124163480 | Patricia A Burke | Social Worker | 411 Alfred St, Biddeford, ME 04005-3741 | 2007-02-21 |
| 1841387339 | Jamie B. Leavitt | Social Worker | 283 Elm St, Biddeford, ME 04005-3027 | 2006-10-06 |
| 1134224413 | Louise Maccubrey Lord | Social Worker | 4 Wellspring Rd, Biddeford, ME 04005 | 2006-09-13 |
| 1508979774 | Stacey M. Ouellette | Social Worker | 9 Healthcare Dr Ste 204, Biddeford, ME 04005-9450 | 2006-08-15 |
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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.