DEIRDRE DANIELLE CLARK (NPI# 1336429414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336429414 |
| Entity Type | Individual |
| Full Name | DEIRDRE DANIELLE CLARK |
| Credential | MSW |
| Practice Address |
2844 Hampton Meadow Dr Tallahassee FL 32311-8124 |
| Mailing Address |
2711 W 15th St Panama City FL 32401-1366 |
| Practice Telephone | 8508773212 |
| Mailing Telephone | 8507696001 |
| Mailing Fax Number | 8507696003 |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144619040 | Deirdre Hemphill Clark | Pharmacist | 95 Spring St, Auburn, ME 04210-5948 | 2015-01-15 |
| 1811251713 | Deirdre M Clark | Nurse Practitioner | 326 Washington St, Norwich, CT 06360-2740 | 2012-06-26 |
| 1053615989 | Deirdre V Clark | Chiropractor | 10926 David Taylor Dr Ste 120, Charlotte, NC 28262-1042 | 2011-01-06 |
| Street Address |
2844 HAMPTON MEADOW DR |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32311-8124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033612486 | Christopher Bouyer | Social Worker | 3909 Reserve Drive, 525, Tallahassee, FL 32311 | 2018-03-12 |
| 1487184354 | Felicia Denise Cooper I | Nurse Practitioner | 1033 High Meadow Drive, Tallahassee, FL 32311 | 2017-06-14 |
| 1447599394 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 1970 Gainsborough Drive, Suite 2, Tallahassee, FL 32311 | 2013-02-12 |
| 1811139090 | Kathy L Lee | Psychiatry & Neurology | 3592 Mossy Creek Ln, Tallahassee, FL 32311 | 2009-04-02 |
| 1376713248 | Kathryn B Lord | Psychologist | 3045 Dickinson Dr, Tallahassee, FL 32311 | 2008-03-07 |
| 1235200031 | Heritage Family Care,llc | Family Medicine | 1910 Hillbrook Trail, Suite 2, Tallahassee, FL 32311 | 2006-11-13 |
| 1215047675 | Board of County Commissioners Leon County | Ambulance | 911 Easterwood Dr, Tallahassee, FL 32311 | 2006-08-30 |
| 1073575858 | Bruce Alan Rodan | Radiology | 3259 Updike Ave, Tallahassee, FL 32311 | 2006-04-05 |
| 1275055378 | Punita Kapadia | Optometrist | 3535 Apalachee Pkwy, Tallahassee, FL 32311 | 2017-07-10 |
| 1912354283 | Daniel Bernabe Jr. | Family Medicine | 3900 Esplanade Way, Tallahassee, FL 32311 | 2016-05-17 |
| Find all providers in zip 32311 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497285209 | Anita Johnson Jackson | Case Manager/Care Coordinator | 3204 N Ridge Rd, Tallahassee, FL 32305 | 2017-06-14 |
| 1568831725 | Josie West | Case Manager/Care Coordinator | 934 Cochran Dr, Tallahassee, FL 32301-7022 | 2015-09-17 |
| 1013322676 | Suvonia Yon | Case Manager/Care Coordinator | 4039 Buster Rd, Tallahassee, FL 32305-8337 | 2014-06-23 |
| 1194155358 | Desmond Crayton | Case Manager/Care Coordinator | 501 Blairstone Rd, Apt. 3802, Tallahassee, FL 32301-3058 | 2013-11-25 |
| 1912344318 | Freddie Lee Moore Jr. | Case Manager/Care Coordinator | 4140 Pond Cypress Ct, Tallahassee, FL 32310-6357 | 2013-05-27 |
| 1609112507 | Michelle Gamble | Case Manager/Care Coordinator | 3208 Old Bainbridge Rd, Tallahassee, FL 32303-2720 | 2012-12-20 |
| 1396007365 | Hellen P Brenes | Case Manager/Care Coordinator | 3008 Giles Pl, Tallahassee, FL 32309-2114 | 2012-06-14 |
| 1942560255 | Pamela Laonora Chamberlynn | Case Manager/Care Coordinator | 3711 Shamrock St W, M-162, Tallahassee, FL 32309-2658 | 2012-05-21 |
| 1538462262 | John M. Whiddon | Case Manager/Care Coordinator | 1906 Buford Blvd, #2, Tallahassee, FL 32308-4666 | 2010-12-20 |
| 1891095451 | Alesia R Traeye | Case Manager/Care Coordinator | 2005 Fannie Dr, Tallahassee, FL 32303-8618 | 2010-10-29 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32311 |
Please comment or provide details below to improve the information on DEIRDRE DANIELLE CLARK.
| 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.