CAROLYN A CLARK (NPI# 1396061255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396061255 |
| Entity Type | Individual |
| Full Name | CAROLYN A CLARK |
| Credential | LCSW |
| Practice Address |
150 California Dr Yountville CA 94599-1411 |
| Practice Telephone | 7079444581 |
| Practice Fax Number | 7079444590 |
| Mailing Telephone | 7079444581 |
| Mailing Fax Number | 7079444590 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 15477 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124429857 | Carolyn Clark | Nurse Practitioner | 6010 Hidden Valley Rd Ste 115, Carlsbad, CA 92011-4219 | 2014-09-12 |
| 1679915664 | Carolyn Gay Clark | Nurse Practitioner | 1232 Branson Hills Pkwy Ste 106, Branson, MO 65616-4189 | 2013-07-19 |
| 1932489184 | Carolyn Kennedy Clark | Acupuncturist | 813 Ormond Ct, San Diego, CA 92109-7370 | 2011-08-19 |
| 1235274242 | Carolyn E. Clark | Obstetrics & Gynecology | 1124 19th St, Huntington, WV 25701-3904 | 2007-02-20 |
| 1962416172 | Carolyn R Clark | Optometrist | 800 Sw Alder St, Portland, OR 97205-3107 | 2006-07-27 |
| 1316933567 | Carolyn B Clark | Nurse Practitioner | 1217 S East Ave Ste 104, Sarasota, FL 34239-2350 | 2005-09-23 |
| 1003434069 | Carolyn Teresa Clark | Registered Nurse | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2020-07-07 |
| 1215568118 | Carolyn Clark | Social Worker | 60 O St Nw, Washington, DC 20001-1259 | 2020-01-29 |
| 1184108300 | Carolyn Clark | Social Worker | 4150 Earhart Blvd, New Orleans, LA 70125-1955 | 2018-09-24 |
| 1336536036 | Carolyn Chen Clark | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-2742 | 2015-04-20 |
| Street Address |
150 CALIFORNIA DR |
| City | YOUNTVILLE |
| State | CA |
| Zip Code | 94599-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619421245 | Alma Glawson | Social Worker | 150 California Dr, Yountville, CA 94599-1411 | 2016-08-11 |
| 1104260231 | Jonathan Spremich | Social Worker | 150 California Dr, Yountville, CA 94599-1418 | 2013-04-19 |
| 1811331952 | Mark A Perkins | Social Worker | 150 California Dr, Yountville, CA 94558-1418 | 2013-04-19 |
| 1427330380 | Sung Cho | Social Worker | 150 California Dr, Social Work Services, Yountville, CA 94599-1411 | 2011-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386843167 | Veterans Home of California | Pharmacy | 123 California Drive, Yountville, CA 94599 | 2007-07-12 |
| 1215579511 | James David Vye Jr. | Physical Therapist | 1897 Hopper Way, Yountville, CA 94599-1212 | 2019-10-09 |
| 1215249875 | Boyd Patrick Dennington | Dentist | 6525 Washington St, Yountville, CA 94599-1300 | 2010-07-11 |
| 1730522517 | Robert Roy Hampton IIi | Dentist | 6525 Washington St, Yountville, CA 94599-1300 | 2013-04-11 |
| 1578928701 | Kimberly De Luna | Pharmacist | 123 California Dr, Yountville, CA 94599-1411 | 2015-12-14 |
| 1235441163 | Rachelle Marie Methner | Dietitian, Registered | 120 California Dr, Yountville, CA 94599-1411 | 2010-07-08 |
| 1144412156 | Angela Brochu | Dietitian, Registered | 180 California Dr, Yountville, CA 94599-1411 | 2007-08-14 |
| 1033300470 | Lynne Alison Fredricksen | Dietitian, Registered | 110 California Dr, Yountville, CA 94599-1411 | 2007-08-08 |
| 1225236243 | Sharon A. Parda | Dietitian, Registered | 190 California Dr, Yountville, CA 94599-1411 | 2007-07-11 |
| 1104811751 | Veterans Home of California | Nursing Facility/Intermediate Care Facility | 100 California Dr, Yountville, CA 94599-1411 | 2005-09-20 |
| Find all providers in zip 94599 | ||||
| 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 |
|---|---|---|---|---|
| 1730523820 | Charesa L Harper | Social Worker | 150 California Dr., Yountville, CA 94599-1418 | 2013-04-19 |
| 1649305103 | Joy Sedlock | Social Worker | 150 California Drive, Yountville, CA 94599-1418 | 2007-02-23 |
| 1174079776 | Deborah Dado | Social Worker | 150 California Drive, Yountville, CA 94599-1418 | 2016-09-01 |
| 1619421245 | Alma Glawson | Social Worker | 150 California Dr, Yountville, CA 94599-1411 | 2016-08-11 |
| 1104260231 | Jonathan Spremich | Social Worker | 150 California Dr, Yountville, CA 94599-1418 | 2013-04-19 |
| 1811331952 | Mark A Perkins | Social Worker | 150 California Dr, Yountville, CA 94558-1418 | 2013-04-19 |
| 1427330380 | Sung Cho | Social Worker | 150 California Dr, Social Work Services, Yountville, CA 94599-1411 | 2011-09-15 |
| 1215266796 | Julie A. Angeloni | Social Worker | 150 California Drive, Yountville, CA 94599-1418 | 2009-12-14 |
| 1417195710 | Lynne L. Aalan | Social Worker | 150 California Drive, Yountville, CA 94599-1418 | 2009-01-26 |
| 1366689978 | Susan K Lebarre | Social Worker | 150 California Drive, Yountville, CA 94599-1418 | 2009-01-20 |
| Find all providers in YOUNTVILLE | ||||
| City | YOUNTVILLE |
| Zip Code | 94599 |
Please comment or provide details below to improve the information on CAROLYN A 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.