MRS. PEGGY J CLARK (NPI# 1407032709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407032709 |
| Entity Type | Individual |
| Full Name | MRS. PEGGY J CLARK |
| Credential | LSW28036 |
| Practice Address |
1740 E 17th St Ste B Idaho Falls ID 83404-6375 |
| Mailing Address |
1740 E 17th St Steb Idaho Falls ID 83404 |
| Practice Telephone | 2085298832 |
| Practice Fax Number | 2085228725 |
| Mailing Telephone | 2085298832 |
| Mailing Fax Number | 2085228725 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LSW28036 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669927679 | Peggy Clark | Pharmacist | 1382 Buffalo Trl, Elizabeth, CO 80107-8505 | 2016-08-19 |
| 1598776445 | Peggy J Clark | Marriage & Family Therapist | 823 Keeler St, Boone, IA 50036-2729 | 2006-08-10 |
| 1952329112 | Peggy Clark | Physical Medicine & Rehabilitation | 2751 W 120th Ave Ste 200, Westminster, CO 80234-2979 | 2006-07-17 |
| 1225159312 | Peggy O. Clark | Nurse Practitioner | 3333 Burnet Ave., Ml 2015, Cincinnati, OH 45229-3039 | 2007-04-03 |
| 1821094897 | Peggy Clark | Speech-Language Pathologist | 992 Union St, Bangor, ME 04401-3057 | 2005-06-24 |
| Street Address |
1740 E 17TH ST STE B |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-6375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083648323 | Brandon Rex Browning | Counselor | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2006-07-11 |
| 1154507796 | Glenn Rose | Social Worker | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2008-01-14 |
| 1922205574 | Family Care Center | Nurse Practitioner | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2007-06-28 |
| 1992902530 | Family Care Center | Psychiatry & Neurology | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2007-06-28 |
| 1467586073 | Leslie Barton | Counselor | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2007-03-15 |
| 1629102264 | Donna Marie Emfield | Counselor | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2007-03-15 |
| 1568596062 | Family Care Center, Inc | Counselor | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2007-03-15 |
| 1174537203 | Susan Kay Jones | Counselor | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2006-07-27 |
| 1457365504 | Kathlene Fay Parsons | Counselor | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2006-07-27 |
| 1730104464 | Family Care Center Inc | Counselor | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437785698 | Wright Step Counseling and Recovery | Social Worker | 610 S Woodruff Ave, Idaho Falls, ID 83401-5299 | 2020-03-19 |
| 1629614987 | Wesley Robert Farrens | Social Worker | 855 N Capital Ave Ste 2, Idaho Falls, ID 83402-3405 | 2019-11-21 |
| 1881183499 | Todd Devries | Social Worker | 211 S Woodruff Ave Ste A, Idaho Falls, ID 83401-4369 | 2018-05-09 |
| 1407368616 | Jessica Owsley | Social Worker | 2275 W Broadway Ste G, Idaho Falls, ID 83402 | 2017-10-27 |
| 1609221308 | Randall M. Parker | Social Worker | 163 E Elva St, Idaho Falls, ID 83402-2233 | 2016-05-01 |
| 1134543796 | Linda B Duran Perez | Social Worker | 2100 Alan St, Idaho Falls, ID 83404-5801 | 2014-02-18 |
| 1376984054 | Grover Louis Wray | Social Worker | 2222 Teton Plz Ste 2, Idaho Falls, ID 83404-6485 | 2013-07-10 |
| 1336426741 | Greg Loveland | Social Worker | 283 West 19th Street, Idaho Falls, ID 83402 | 2011-11-14 |
| 1164709911 | Ashley Renee Johnson | Social Worker | 2275 W Broadway St Ste C, Idaho Falls, ID 83402-2902 | 2011-11-08 |
| 1609197383 | Shawn Lapray | Social Worker | 1036 E Lazy Ln, Idaho Falls, ID 83404-7790 | 2010-06-17 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on MRS. PEGGY J 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.