MS. CAROLINE CLARK (NPI# 1336536317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336536317 |
| Entity Type | Individual |
| Full Name | MS. CAROLINE CLARK |
| Credential | MSW |
| Practice Address |
790 Fuller Ave Ne Grand Rapids MI 49503-1918 |
| Practice Telephone | 6163363909 |
| Practice Fax Number | 6163362475 |
| Mailing Telephone | 6163363909 |
| Mailing Fax Number | 6163362475 |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801064274 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992205975 | Caroline Clark | Counselor | 1878 S Genoa St, Aurora, CO 80017-4620 | 2018-02-16 |
| 1356956452 | Caroline Clark | Clinical Nurse Specialist | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2020-09-15 |
| 1619488350 | Caroline June Clark | Marriage & Family Therapist | 1489 W Warm Springs Rd, Henderson, NV 89014-7635 | 2017-10-20 |
| 1366979825 | Caroline Gray Clark | Social Worker | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2017-05-16 |
| 1083151047 | Caroline Clark | Physical Therapist | 80 Seven Hills Blvd, Suite 105, Dallas, GA 30132-0574 | 2017-01-27 |
| 1992189237 | Caroline Shaffner Clark | Physician Assistant | 2001 Randolph Rd, Charlotte, NC 28207-1215 | 2015-07-16 |
| 1972933810 | Caroline Carmela Clark | Psychiatry & Neurology | 4301 Wilson St, Fort Sill, OK 73503-4472 | 2013-11-13 |
| 1962771568 | Caroline Lee Clark | Nurse Practitioner | 31 Heath St, Jamaica Plain, MA 02130-1650 | 2011-12-28 |
| 1033487376 | Caroline Kelly Clark | Social Worker | 121 London Rd, Asheville, NC 28803-2707 | 2011-12-01 |
| 1861586182 | Caroline Clark | Nurse Practitioner | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2006-10-03 |
| Street Address |
790 FULLER AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-1918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821083924 | Mazhar Munir | Psychiatry & Neurology | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2005-09-14 |
| 1285233601 | Jenna Lee Liszewski | Social Worker | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-10-19 |
| 1841898988 | Amy Kruithoff | Social Worker | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-10-12 |
| 1043837529 | Jessica Garland | Social Worker | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-06-30 |
| 1720604135 | Mareena Lynn Terry | Registered Nurse | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-06-22 |
| 1669097945 | Kevin Ryan Beedon | Peer Specialist | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-06-11 |
| 1609404805 | Kimberly Eisenbarth | Recreation Therapist | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-04-01 |
| 1376179325 | Patricia Kregg | Peer Specialist | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-03-20 |
| 1922630375 | Erica Suzanne Wilson | Counselor | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-02-04 |
| 1245861574 | Melissa J. Anthony | Counselor | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| 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 |
|---|---|---|---|---|
| 1225639560 | Ananya Avinash | Social Worker | 235 Olivia Ct Nw, Grand Rapids, MI 49504-5897 | 2020-11-03 |
| 1982203485 | Becoming You Therapy Pllc | Social Worker | 2346 Mission Hills Dr Se, Grand Rapids, MI 49546-7804 | 2020-10-26 |
| 1235738774 | Huffman Counseling Services LLC | Social Worker | 1950 Waldorf St Nw Ste E, Grand Rapids, MI 49544-1488 | 2020-10-24 |
| 1730795816 | Elizabeth Anne Maher | Social Worker | 1519 Pontiac Rd Se, Grand Rapids, MI 49506-3367 | 2020-09-23 |
| 1437764511 | Titiana Shanee Richardson | Social Worker | 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 | 2020-09-15 |
| 1205448834 | Rose Training & Education, LLC | Social Worker | 156 Hillview Ave Ne, Grand Rapids, MI 49503-3824 | 2020-08-17 |
| 1497366967 | Krista L. Leinberger, LLC | Social Worker | 548 Fairview Ave Ne Apt 1, Grand Rapids, MI 49503-2581 | 2020-08-10 |
| 1609493782 | Lauren Anne Tarkiewicz | Social Worker | 700 Alger St Se, Grand Rapids, MI 49507-3531 | 2020-07-06 |
| 1841814779 | Molly Ballantyne | Social Worker | 1166 Hall St Se, Grand Rapids, MI 49507-1971 | 2020-06-06 |
| 1942839238 | Patricia Hickey Msw | Social Worker | 2020 Raybrook St Se Ste 301, Grand Rapids, MI 49546-7717 | 2020-04-07 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on MS. CAROLINE 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.