JERRI CLARK (NPI# 1306321187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
Street Address |
311 E MARKET ST |
City | LIMA |
State | OH |
Zip Code | 45801-4535 |
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 |
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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 Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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 |
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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.