JERRI CLARK


Address: 311 E Market St, Lima, OH 45801-4535
Phone: 4192224474

JERRI CLARK (NPI# 1306321187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306321187
Entity Type Individual
Full Name JERRI CLARK
Credential BSW
Practice Address 311 E Market St
Lima
OH 45801-4535
Mailing Address 335 E Walnut St
Wauseon
OH 43567-1216
Practice Telephone 4192224474
Mailing Telephone 5742146307
Enumeration Date 2018-09-27
Last Update Date 2018-09-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 311 E MARKET ST
City LIMA
State OH
Zip Code 45801-4535

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073666293 Tosen, Inc. Durable Medical Equipment & Medical Supplies 311 E Market St, Suite 204, Lima, OH 45801-4535 2007-01-19
1629679063 Brian Alan Whittington Sr. Counselor 311 E Market St, Lima, OH 45801-4535 2020-11-03
1831746122 Claudia Kemp Counselor 311 E Market St, Lima, OH 45801-4535 2019-08-21
1891349056 Rekya Jhane' Saine Case Manager/Care Coordinator 311 E Market St, Lima, OH 45801-4535 2019-07-26
1780240580 Jada Michaela Jones Substance Abuse Rehabilitation Facility 311 E Market St, Lima, OH 45801-4535 2019-05-16
1588220495 Linda Renee Harper Registered Nurse 311 E Market St, Lima, OH 45801-4535 2019-05-15
1205492535 Catrese Medley Licensed Practical Nurse 311 E Market St, Lima, OH 45801-4535 2019-05-13
1730744574 Kelly Walters Counselor 311 E Market St, Lima, OH 45801-4535 2019-05-07
1487218756 Ramona Hucks Case Manager/Care Coordinator 311 E Market St, Lima, OH 45801-4535 2019-04-23
1659833929 D'shana Chandler Licensed Practical Nurse 311 E Market St, Lima, OH 45801 2019-04-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053839720 Candie Sue Dray Counselor 311 Market St., 311 Market St, Lima, OH 45801 2017-09-01
1962945105 Alisha Harper Social Worker 200 E. High St. 2nd Floor, Lima, OH 45801 2016-11-21
1841740156 Bullock Home Care Home Health 128 West High Street, Lima, OH 45801 2016-10-11
1952787707 Brenda Tran Hoang Pharmacist 730 W Market St., Lima, OH 45801 2015-08-04
1134511918 Gbenga Balogun Registered Nurse 1225 Summit Street, Lima, OH 45801 2015-03-03
1588802763 Illness Prevention and Holistic Health Center Specialist 545 West Market Street, Suite 306, Lima, OH 45801 2009-01-27
1033302237 Custom Staffing Lima Inc Home Health 712 W North St, Lima, OH 45801 2007-08-21
1316167463 Ear Nose and Throat Specialists of West Central Ohio Otolaryngology 770 West High St, Suite 480, Lima, OH 45801 2007-04-30
1598886566 Zita Marie Duffy Social Worker 658 W Market St Ste 101, Lima, OH 45801 2007-04-03
1487787875 Steve C Knapke Specialist/Technologist 730 West Market St., Lima, OH 45801 2007-03-14
Find all providers in zip 45801

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427664556 Lorraine Denise Andrews Counselor 660 S Union St, Lima, OH 45804-1368 2020-09-23
1851909063 Callie Jean Snyder Counselor 2350 N Cole St Apt D85, Lima, OH 45801-2327 2020-07-14
1407334030 Tony Ryan Kuntz Counselor 543 W Elm St, Lima, OH 45801-4757 2018-08-06
1336634658 Cedric E. Bradford Counselor 311 E Market St Ste 300, Lima, OH 45801-4565 2018-06-28
1053839720 Candie Sue Dray Counselor 311 Market St., 311 Market St, Lima, OH 45801 2017-09-01
1093250078 Gevette Love Counselor 311 E. Market St., Lima, OH 45804 2016-12-29
1821472259 Karen Knabbs-andrews Counselor 2520 Penny Lee Dr, Lima, OH 45805-1096 2015-07-15
1194109884 Danielle Angelieque Snyder Counselor 809 West Vine Street, Lima, OH 45802 2015-07-13
1457734782 Jay Simpson Counselor 809 W Vine St, Lima, OH 45804-1054 2015-07-06
1508256090 Kevin Jones I Counselor 1213 W Elm St, Lima, OH 45805-3236 2015-02-04
Find all providers in LIMA

Competitor

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City LIMA
Zip Code 45801

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Dataset Information

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.

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