WANDA MAE CLARK (NPI# 1376866301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376866301 |
| Entity Type | Individual |
| Full Name | WANDA MAE CLARK |
| Practice Address |
116 S Lawrence St Rockingham NC 28379-3657 |
| Mailing Address |
284 Executive Park Dr Suite 100 Concord NC 28025-1831 |
| Practice Telephone | 9108952462 |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2010-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356340681 | Wanda Lu Clark | Nurse Practitioner | 3113 Ross St, Amarillo, TX 79103-2700 | 2005-07-19 |
| 1043213457 | Wanda Kaye Clark | Nurse Practitioner | 1151 Camden Ave, Rock Hill, SC 29732-3014 | 2005-05-31 |
| 1588936447 | Wanda Clark | Case Manager/Care Coordinator | 1300 E Hanagita, Valdez, AK 99686-1635 | 2012-02-07 |
| 1578764056 | Wanda Louise Clark | Occupational Therapy Assistant | 1422 San Marco Blvd, Jacksonville, FL 32207-8536 | 2007-05-30 |
| Street Address |
116 S LAWRENCE ST |
| City | ROCKINGHAM |
| State | NC |
| Zip Code | 28379-3657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073530853 | Sandhills Center for Mental Health, Developmental Disabilities and Sub | Psychiatry & Neurology | 116 S Lawrence St, Rockingham, NC 28379-3657 | 2006-07-16 |
| 1912540097 | Angela Marie Clifton | Counselor | 116 S Lawrence St, Rockingham, NC 28379-3657 | 2019-10-22 |
| 1639653934 | Stacey Pearson | Clinical Nurse Specialist | 116 S Lawrence St, Rockingham, NC 28379-3657 | 2018-09-21 |
| 1154829091 | Charlene Barrett | Clinical Nurse Specialist | 116 S Lawrence St, Rockingham, NC 28379-3657 | 2018-01-25 |
| 1720529464 | Shanika Bostic Smith | Nurse Practitioner | 116 S Lawrence St, Rockingham, NC 28379-3657 | 2017-03-14 |
| 1124488325 | April D'tonya Burch | Counselor | 116 S Lawrence St, Rockingham, NC 28379-3657 | 2016-03-01 |
| 1376980136 | Sean Ezra Dalton | Counselor | 116 S Lawrence St, Rockingham, NC 28379-3657 | 2013-06-03 |
| 1649546581 | Liquita Monique Crosland | Counselor | 116 S Lawrence St, Rockingham, NC 28379-3657 | 2012-03-26 |
| 1902110125 | Angelika Marks Liles | Counselor | 116 S Lawrence St, Rockingham, NC 28379-3657 | 2010-07-29 |
| 1861713539 | Alberta Morman | Counselor | 116 S Lawrence St, Rockingham, NC 28379-3657 | 2010-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728157 | Yonathan Nigatu Dds Pllc | Dentist | 1355 E Broad Ave., Rockingham, NC 28379 | 2020-10-21 |
| 1780202788 | Rosemond Salia | Pharmacy | 720 E Highway 74 Business, Rockingham, NC 28379 | 2020-07-07 |
| 1790311835 | Daymark Recovery Services Inc | Community/Behavioral Health | 523 N Us Hwy 1, Suite B, Rockingham, NC 28379 | 2020-03-20 |
| 1639646318 | Lakir Patel | Pharmacist | 720 E Highway Business 74, Rockingham, NC 28379 | 2018-10-31 |
| 1205368180 | Karen Mclaurin | Early Intervention Provider Agency | 138 Ivy Trail, Rockingham, NC 28379 | 2017-03-30 |
| 1134574130 | Laura Mcrae Harris | Counselor | 2202 Fayetteville Road, Rockingham, NC 28379 | 2016-04-27 |
| 1275904542 | Marsha A Murphy | Counselor | 325 South Long Drive, Rockingham, NC 28379 | 2015-10-13 |
| 1659741361 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1262 East Broad Avenue, Rockingham, NC 28379 | 2015-10-07 |
| 1841683448 | Tawanda L Bennett | Counselor | 2202 Fayetteville Rd., Rockingham, NC 28379 | 2015-03-06 |
| 1841682846 | Patricia Ann Flowers | Counselor | 119 Rockinham Rd, Rockingham, NC 28379 | 2015-02-27 |
| Find all providers in zip 28379 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518439231 | Tania Mcdonald | Counselor | 302 Leak St, Rockingham, NC 28379-3765 | 2018-12-19 |
| 1841682846 | Patricia Ann Flowers | Counselor | 119 Rockinham Rd, Rockingham, NC 28379 | 2015-02-27 |
| 1962705244 | Trina K. Locklear | Counselor | 116 S. Lawrence St., Rockingham, NC 28380-3657 | 2010-12-08 |
| 1346561016 | Tiffany Sophia Newton | Counselor | 1219 Rockingham Rd Ste 12, Rockingham, NC 28379-4925 | 2010-06-17 |
| 1154582773 | Robert Lee Wallace | Counselor | 110 S Hancock St, Rockingham, NC 28379-3675 | 2008-06-17 |
| 1437355344 | Rolanda Denise Malloy | Counselor | 315 C South Long Drive, Rockingham, NC 28379 | 2007-06-26 |
| 1275739898 | Program Resource Institute, Inc. | Counselor | 225 S Hancock St, Suit E, Rockingham, NC 28379-3678 | 2007-06-21 |
| 1134244270 | Timothy Ray Field | Counselor | 426 Elizabeth Ave, Rockingham, NC 28379-3118 | 2007-03-20 |
| 1972053981 | Asha B's Closet | Counselor | 315c S Long Dr, Rockingham, NC 28379-3991 | 2016-10-13 |
| 1801134614 | Amanda Blair Faulk | Counselor | 503 Rockingham Rd, Rockingham, NC 28379-3615 | 2013-01-29 |
| Find all providers in ROCKINGHAM | ||||
| City | ROCKINGHAM |
| Zip Code | 28379 |
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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.