NICHOLAS CLARK


Address: 690 Edison Way, Reno, NV 89502-4100
Phone: 7758583303

NICHOLAS CLARK (NPI# 1326457375) 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) 1326457375
Entity Type Individual
Full Name NICHOLAS CLARK
Credential LSW
Practice Address 690 Edison Way
Reno
NV 89502-4100
Mailing Address 2445 Bentley Dr
Reno
NV 89523-2847
Practice Telephone 7758583303
Mailing Telephone 7759979629
Enumeration Date 2014-08-04
Last Update Date 2014-08-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 104100000X Social Worker 6690-S NV Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
IC-853 NV Behavioral Health & Social Service Providers

Other Providers NICHOLAS CLARK

NPI Name Taxonomy Address Enumeration
1760710958 Nicholas L Clark Optometrist 2185 Nw 2nd St, Mcminnville, OR 97128-9108 2009-11-25
1306172721 Nicholas Eugene Clark Specialist/Technologist 8401 Valley Ranch Pkwy E, Irving, TX 75063-5405 2009-10-20
1740816842 Nicholas Clark Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 2020-03-20
1043841430 Nicholas Clark Behavior Technician 2925 Dean Pkwy Ste 300, Minneapolis, MN 55416-7700 2020-02-04
1386106201 Nicholas William Clark Student in an Organized Health Care Education/Training Program 2301 Erwin Rd, Durham, NC 27705-4699 2019-04-01
1316430564 Nicholas E. Clark Nurse Anesthetist, Certified Registered 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 2018-06-12
1538657465 Nicholas Clark Licensed Practical Nurse 350 City View Dr Ste 206, Evanston, WY 82930 2018-04-26
1407235724 Nicholas Clark Orthopaedic Surgery 200 1st St Sw, Rochester, MN 55905-0001 2015-05-19
1356760508 Nicholas Samuel Clark Anesthesiology 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2014-04-15
1942596283 Nicholas Clark Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2011-06-24

Office Location

Street Address 690 EDISON WAY
City RENO
State NV
Zip Code 89502-4100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790883205 Willow Springs LLC Social Worker 690 Edison Way, Reno, NV 89502-4100 2006-09-20
1326647868 Vanessa Cuevas Rojas Registered Nurse 690 Edison Way, Reno, NV 89502-4135 2020-10-24
1598214249 James Leonard Studer Marriage & Family Therapist 690 Edison Way, Reno, NV 89502-4100 2016-09-22
1225581713 Rachel Martinez Social Worker 690 Edison Way, Reno, NV 89502-4100 2016-08-01
1992196653 Nicholas Tieken Counselor 690 Edison Way, Reno, NV 89502-4100 2015-02-16
1447505383 Daniel Phillip Crump Jr. Social Worker 690 Edison Way, Reno, NV 89502-4100 2012-07-17
1295059046 Jayleen Chen Psychiatry & Neurology 690 Edison Way, Reno, NV 89502-4100 2010-03-23
1407098288 Matthew Gibbons Parra Psychiatry & Neurology 690 Edison Way, Reno, NV 89502-4100 2009-03-25
1740454172 Kiersten Gladding Marriage & Family Therapist 690 Edison Way, Reno, NV 89502-4100 2008-04-16
1760506927 Dana Marie Arlien Psychiatry & Neurology 690 Edison Way, Reno, NV 89502-4100 2007-03-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992314264 State of Nevada Community/Behavioral Health 4600 Kietzke Lane Bldg D, Reno, NV 89502 2020-07-23
1447879259 Ryan Johnson Student in an Organized Health Care Education/Training Program 1155 Mill St. W-11, Reno, NV 89502 2020-04-11
1396378063 Domingko Loney Chore Provider 1325 Air Motive Wat St 262, Reno, NV 89502 2020-02-20
1053954842 Derek Craig Home Health Aide 1000 Havard Way #29, Reno, NV 89502 2019-10-24
1477108124 Marisa Rachael Traversie Nurse Practitioner 910 Vista Boulevard, Sparks, NV 89502 2019-08-08
1912564675 Patrick Llewellyn Merrill Social Worker 975 Kirman Ave - Ch 116, Reno, NV 89502 2019-05-28
1881154706 Naresh Kumar Veerabattini Student in an Organized Health Care Education/Training Program 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 2019-03-25
1053899187 Daphne London Behavioral Analyst 1325 Airmotive Way Ste 260, Reno, NV 89502 2018-07-31
1790271609 Jennifer J Padolina Optometrist 2296 Kietzke Ln, Reno, NV 89502 2018-07-03
1336630185 Lindsey Cherie Cooper Technician 3563 Sol Grande Ct, Reno, NV 89502 2018-05-27
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457968265 Rebecca Rasmussen Social Worker 1971 Morgan Rd, Reno, NV 89521-7458 2020-09-25
1083223564 Cheryl Guerriero Pllc Social Worker 5881 September Cir, Reno, NV 89523-6229 2020-07-30
1336758572 Betelham B Zerihun Social Worker 1250 Salem Pl Apt 6, Reno, NV 89509-4186 2020-07-23
1255958054 Hobbs Industries, Inc Social Worker 1155 W 4th St # 2512, Reno, NV 89503-5172 2020-06-29
1770115750 Mak Counseling Social Worker 1201 Terminal Way Ste 202, Reno, NV 89502-3395 2020-02-07
1891334736 Donna Jean Cude-islas Social Worker 2564 Rampart Ter, Reno, NV 89519-8361 2019-12-23
1912564675 Patrick Llewellyn Merrill Social Worker 975 Kirman Ave - Ch 116, Reno, NV 89502 2019-05-28
1760956254 Scaling Up LLC Social Worker 1200 Riverside Dr Unit 1280, Reno, NV 89503-5471 2019-01-17
1730658303 Victoria Richards Social Worker 850 Mill St Ste 400, Reno, NV 89502-1413 2018-11-13
1073002002 Allen Hearn Social Worker 2490 Eastshore Pl Unit 505, Reno, NV 89509-0024 2018-05-04
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Competitor

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City RENO
Zip Code 89502

Improve Information

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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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