DWAYNE CLACKS (NPI# 1396221255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396221255 |
| Entity Type | Individual |
| Full Name | DWAYNE CLACKS |
| Other Name | DWAYNE CLACKS |
| Credential | CERTIFIED TRAINER |
| Practice Address |
1629 K St Nw Ste 300 Washington DC 20006-1631 |
| Mailing Address |
5703 Cypress Creek Dr Apt 3 Hyattsville MD 20782-1806 |
| Practice Telephone | 2025310195 |
| Mailing Telephone | 2025310195 |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1629 K ST NW STE 300 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20006-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750363826 | Asha N Isable | Internal Medicine | 1629 K St Nw Ste 300, Washington, DC 20006-1631 | 2005-11-15 |
| 1053926105 | The Phoenix Group | Social Worker | 1629 K St Nw Ste 300, Washington, DC 20006-1631 | 2020-09-14 |
| 1396350989 | Reginald M Romaine Jr. | Counselor | 1629 K St Nw Ste 300, Washington, DC 20006-1631 | 2020-09-10 |
| 1992318703 | Sylvain Ijang | Counselor | 1629 K St Nw Ste 300, Washington, DC 20006-1631 | 2020-08-31 |
| 1790397701 | Rachel Sanchez | Social Worker | 1629 K St Nw Ste 300, Washington, DC 20006-1631 | 2020-08-20 |
| 1487262945 | Dogwood Lifestyle Medicine Plc | Clinic/Center | 1629 K St Nw Ste 300, Washington, DC 20006-1631 | 2020-07-20 |
| 1407479942 | Weekend Clinic | Clinic/Center | 1629 K St Nw Ste 300, Washington, DC 20006-1631 | 2020-05-19 |
| 1952923732 | Ana Vargas | Counselor | 1629 K St Nw Ste 300, Washington, DC 20006-1631 | 2020-05-14 |
| 1770105660 | Kim Harris Cobb | Counselor | 1629 K St Nw Ste 300, Washington, DC 20006-1631 | 2020-05-13 |
| 1326669458 | Diasporic Healing LLC | Community/Behavioral Health | 1629 K St Nw Ste 300, Washington, DC 20006-1631 | 2020-04-29 |
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|---|---|---|---|---|
| 1063035228 | Synapse Virtual Care Management, Inc | Emergency Medicine | 1701 Pennsylvania Ave, Northwest, Suite 200#pmb133, Washington, DC 20006 | 2020-05-22 |
| 1427687383 | Arlene S Bein | Social Worker | 1725 Eye St N.w., Suite 300, Washington, DC 20006 | 2020-04-03 |
| 1336700160 | Northrium Health LLC | Internal Medicine | 1673 K Street #300 Nw, Washington, DC 20006 | 2019-06-24 |
| 1376007674 | I. Shand Counseling Pllc | Counselor | 16290 K St Nw, Suite 300, Washington, DC 20006 | 2019-01-31 |
| 1831653088 | Faithnprogress Psychological Services, Pllc | Psychologist | 1627 K St., Nw, 4th Floor, Washington, DC 20006 | 2019-01-22 |
| 1598236697 | Arilma Milagros St.clair I | Nurse Practitioner | 1889 F Street Nw, Tl-46 Health Unit, Washington, DC 20006 | 2018-12-16 |
| 1134699358 | Petrina Laton Williams | Social Worker | 1300 I Street Nw, Ste 400, Washington, DC 20006 | 2018-11-30 |
| 1154890531 | Victoria Albina Health & Wellness | Nurse Practitioner | 1915 I St. Nw, #700, Washington, DC 20006 | 2018-11-15 |
| 1104314343 | Tamara Jackson | Psychologist | 1725 I Street Nw, Suite 300, Washington, DC 20006 | 2018-04-24 |
| 1730693953 | Bar Lehmann | Social Worker | 1627 K St. Nw, Washington, DC 20006 | 2017-11-27 |
| Find all providers in zip 20006 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
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| 1316566102 | Drazan Vukovic | Specialist/Technologist | 100 Potomac Ave Sw, Washington, DC 20024-2999 | 2020-04-11 |
| 1720616808 | Nicholas Clements | Specialist/Technologist | 1400 Main Dr Nw, Washington, DC 20012-2822 | 2020-04-01 |
| 1164058376 | Travis Arthur Mccormack | Specialist/Technologist | Georgetown University 37th and O St Nw, Washington, DC 20057-0001 | 2020-03-19 |
| 1174159404 | Andreya Cracco | Specialist/Technologist | 16 17th St Ne Apt 312, Washington, DC 20002-6670 | 2020-03-18 |
| 1306479688 | Courtney Anne Bekemeyer | Specialist/Technologist | 1491 17th Rd, Washington, KS 66968-8407 | 2020-02-14 |
| 1457991176 | Joseph Stephen Driscoll | Specialist/Technologist | St. Albans School / Mount St, Alban, 3001 Wisconsin Ave, Washington, DC 20016 | 2020-01-10 |
| 1538706676 | Eric Schwartz | Specialist/Technologist | 2400 E Capitol St Se, Washington, DC 20003 | 2019-12-09 |
| 1639723364 | Rebecca Barron | Specialist/Technologist | 1255 25th St Nw Apt 903, Washington, DC 20037-4115 | 2019-07-31 |
| 1053964148 | Stephen Andrew Taylor | Specialist/Technologist | 4665 Blue Plains Dr Sw, Washington, DC 20032-5202 | 2019-07-18 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20006 |
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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.