MR. TERRY LEE CLARK (NPI# 1336242676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336242676 |
| Entity Type | Individual |
| Full Name | MR. TERRY LEE CLARK |
| Credential | LCSW |
| Practice Address |
1101 Veterans Drive Lexington KY 40502-2235 |
| Mailing Address |
565 Cane Run Rd Lexington KY 40505-1434 |
| Practice Telephone | 8592813953 |
| Mailing Telephone | 8592813953 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
KY-669 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548403678 | Terry K Clark | Surgery | 4976 E Meadows Dr, Park City, UT 84098-5921 | 2009-04-20 |
| 1184654774 | Terry L Clark | Preventive Medicine | 4300 Regions Park Dr, Fort Smith, AR 72916-9373 | 2006-07-03 |
| 1326008277 | Terry L Clark | Podiatrist | 728 Pennsylvania Ave, Sheboygan, WI 53081-4669 | 2006-03-24 |
| 1457913154 | Terry Lynn Clark | Counselor | 146 Pike St, Port Jervis, NY 12771-1808 | 2019-07-02 |
| 1255734018 | Terry Lee Clark | Speech-Language Pathologist | 777 Glades Rd, Boca Raton, FL 33431-6424 | 2014-10-07 |
| 1811215627 | Terry Clark | Counselor | 1019 Kinkead Rd, Mcalester, OK 74501-7704 | 2010-05-04 |
| 1861688053 | Terry James Clark | Counselor | 111 Park Ave, Baltimore, MD 21201-3402 | 2007-09-20 |
| 1891749768 | Terry R Clark | Counselor | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2006-05-22 |
| 1538128376 | Terry Gene Clark | Physician Assistant | 601 Highway 6 W, V.a.m.c., Iowa City, IA 52246-2292 | 2006-03-21 |
| 1245221324 | Terry Robert Clark | Pharmacist | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2005-10-28 |
| Street Address |
1101 VETERANS DRIVE |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40502-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114916251 | Jeffrey W Honeycutt | Radiology | 1101 Veterans Drive, Lexington, KY 40502 | 2005-10-20 |
| 1891127759 | Cheryl Elaine Vanderford | Physician Assistant | 1101 Veterans Drive, Lexington, KY 40502-2236 | 2013-08-02 |
| 1174863534 | Heather Nicole Mckinney | Nurse Anesthetist, Certified Registered | 1101 Veterans Drive, Lexington, KY 40502 | 2013-02-21 |
| 1922357037 | Christine Marie Barilleaux | Dietitian, Registered | 1101 Veterans Drive, 120 Ld, Lexington, KY 40511 | 2012-09-05 |
| 1275801995 | Cheryl Lewis Talbert | Social Worker | 1101 Veterans Drive, Va Medical Center, Lexington, KY 40502-9987 | 2011-12-08 |
| 1518294719 | Jill Wright Smith | Social Worker | 1101 Veterans Drive, Lexington, KY 40502-2236 | 2009-11-09 |
| 1720213077 | Katayoun Behbahani | Internal Medicine | 1101 Veterans Drive, Department of Veterans Affairs Medical Center, Lexington, KY 40502 | 2009-05-15 |
| 1053597518 | Ershela Dawn Dean | Registered Nurse | 1101 Veterans Drive, Lexington, KY 40502-9987 | 2008-01-15 |
| 1184718389 | Cinda Brown | Nurse Practitioner | 1101 Veterans Drive, Lexington, KY 40502-2236 | 2006-10-03 |
| 1932292810 | Sharon B Chandler | Nurse Practitioner | 1101 Veterans Drive, Lexington, KY 40503-0000 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689213761 | Justin Waldo | Social Worker | Lexington Va Medical Center, 1101 Veteran's Drive, Lexington, KY 40502 | 2020-01-06 |
| 1275187569 | Lorraine Wiley | Specialist/Technologist | 712 Sports Center Dr, Lexington, KY 40502 | 2019-07-25 |
| 1013560952 | Erica Keller Musgrave | Speech-Language Pathologist | 882 Mcmeekin Pl, Lexington, KY 40502 | 2019-07-19 |
| 1174029078 | Michael Bryan Mullen | Otolaryngology | 358 Duke Rd, Lexington, KY 40502 | 2018-04-01 |
| 1346740644 | Susan R Castle | Physical Therapist | 710 East Main Street, Lexington, KY 40502 | 2018-02-14 |
| 1689187684 | Lynn Kathryn Marsh Bryant | Speech-Language Pathologist | 120 Kentucky Avenue, Suite 110 Lexington, Lexington, KY 40502 | 2017-11-13 |
| 1215440888 | Ryan Mcnamara | Specialist/Technologist | 277 Sports Center Drive, Lexington, KY 40502 | 2017-11-06 |
| 1336667690 | Anthony Shawn Prater | Physical Therapist | 710 E. Main St., Lexington, KY 40502 | 2017-09-06 |
| 1568989002 | Lucie Thurman | Counselor | 1109 Richmond Rd., Lexington, KY 40502 | 2017-08-25 |
| 1548700867 | Ann Elizabeth Boone | Massage Therapist | 2121 Richmond Road, Suite 228, Lexington, KY 40502 | 2017-03-06 |
| Find all providers in zip 40502 | ||||
| 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 |
|---|---|---|---|---|
| 1154929362 | Linda Flynn Lengal | Social Worker | 3600 Winthrop Dr Apt 9211, Lexington, KY 40514-1871 | 2020-10-12 |
| 1689283202 | Jenny K Delap | Social Worker | 202 E Vista St, Lexington, KY 40503-1327 | 2020-07-29 |
| 1487279204 | Open Doors of Hope | Social Worker | 736 Burgess Ave, Lexington, KY 40511-1571 | 2020-06-09 |
| 1346861911 | Crossroads Behavioral Health, Inc. | Social Worker | 409 W New Circle Rd, Lexington, KY 40511-1832 | 2020-05-05 |
| 1033739446 | Emma Simone Rava | Social Worker | 205 Hickory Hill Rd, Lexington, SC 29072-9344 | 2020-04-26 |
| 1790305738 | Kimberly Ann Cook-lee | Social Worker | 342 Waller Ave Ste 1d, Lexington, KY 40504-2922 | 2020-04-20 |
| 1477172054 | Evolve Counseling, LLC | Social Worker | 80 Codell Dr Ste 220, Lexington, KY 40509-1178 | 2020-04-13 |
| 1689213761 | Justin Waldo | Social Worker | Lexington Va Medical Center, 1101 Veteran's Drive, Lexington, KY 40502 | 2020-01-06 |
| 1467091744 | We Support Seniors, L.L.C. | Social Worker | 56 Mentelle Park, Lexington, KY 40502-1512 | 2020-01-03 |
| 1619513405 | Wallace E. Bellis | Social Worker | 138 Leader Ave Ste 129d, Lexington, KY 40508-3215 | 2019-11-27 |
| Find all providers in LEXINGTON | ||||
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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.