KATHLEEN CLARKE (NPI# 1407315724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407315724 |
| Entity Type | Individual |
| Full Name | KATHLEEN CLARKE |
| Credential | LPC, MBA, CAADC |
| Practice Address |
1315 Leedom Rd Havertown PA 19083-4803 |
| Practice Telephone | 2156806792 |
| Enumeration Date | 2019-03-16 |
| Last Update Date | 2019-03-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101Y00000X | Counselor | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376844340 | Kathleen Marie Clarke | Social Worker | 92 Brentwood Dr, Yarmouth Port, MA 02675-1663 | 2010-11-08 |
| 1093838047 | Kathleen Anne Clarke | Psychologist | 1506 S Oneida St, Appleton, WI 54915-1305 | 2007-04-06 |
| 1164547881 | Kathleen Maffett Clarke | Social Worker | 1250 E Baseline Rd, Suite 105, Tempe, AZ 85283-1404 | 2007-03-20 |
| 1053436253 | Kathleen M Clarke | Physical Therapist | 830 Scenic Dr, Modesto, CA 95350-6131 | 2007-03-20 |
| Street Address |
1315 LEEDOM RD |
| City | HAVERTOWN |
| State | PA |
| Zip Code | 19083-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
| 1588216238 | Angela Wrolstad | Registered Nurse | 614 Darby Road, Havertown, PA 19083 | 2019-07-12 |
| 1639696214 | Osaru Anyumba | Case Manager/Care Coordinator | 311 Lansdowne Road, Havertown, PA 19083 | 2017-08-24 |
| 1346762739 | Luke Francis Mattson | Pharmacist | 60 West Hillcrest Avenue, Havertown, PA 19083 | 2017-07-07 |
| 1124558150 | Clare M Chakey | Counselor | 1631 Ridgeway Road, Haventown, PA 19083 | 2017-06-13 |
| 1205382553 | Silverware Home Care Service LLC | Residential Treatment Facility, Physical Disabilities | 2010 Wester Chester Pike, Suite 448, Havertown, PA 19083 | 2016-08-28 |
| 1275903486 | Megan Keeley Ramaika | Dietitian, Registered | 404 Fairmont Road, Havertown, PA 19083 | 2015-09-30 |
| 1972987246 | Katie Paugh | Occupational Therapist | One North Belfield Avenue, Havertown, PA 19083 | 2015-07-16 |
| 1497140180 | Total Health Home Care Corporation | Nurse's Aide | 2710 West Township Line Rd, Havertown, PA 19083 | 2015-03-31 |
| 1851704084 | Ul Sik Jason Chong | Pharmacist | 700 East Townshipline Road Ste Ll, Havertown, PA 19083 | 2014-06-05 |
| Find all providers in zip 19083 | ||||
| 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 |
|---|---|---|---|---|
| 1144838822 | Arielle Manganiello | Counselor | 2000 W Chester Pike, Havertown, PA 19083-2713 | 2020-07-17 |
| 1053478610 | Gerald F. O'leary | Counselor | 412 E Eagle Rd, Havertown, PA 19083-1635 | 2007-01-03 |
| 1932717311 | Laura Lemon | Counselor | 1120 W Township Line Rd, Havertown, PA 19083-4930 | 2020-07-21 |
| 1538521810 | Barbara Hayward | Counselor | 2000 Old West Chester Pike, Havertown, PA 19083-2712 | 2016-03-24 |
| 1285090894 | Donna Bayliss | Counselor | 525 W Chester Pike, Suite 314, Havertown, PA 19083-4500 | 2016-01-12 |
| 1588034797 | James L Jacobs | Counselor | 525 W Chester Pike, Suite 205, Havertown, PA 19083-4500 | 2015-09-30 |
| 1447687702 | Karisa N Taparata | Counselor | 525 W Chester Pike, Suite 205, Havertown, PA 19083-4500 | 2013-10-02 |
| 1922367770 | Tina Michelle Scott | Counselor | 222 S Manoa Rd, Havertown, PA 19083-3300 | 2012-05-15 |
| 1104182971 | Lola R Georg | Counselor | 525 W Chester Pike, Suite 205, Havertown, PA 19083-4500 | 2012-04-06 |
| 1720267164 | Marlene C. Williams | Counselor | 412 E Eagle Rd, Havertown, PA 19083-1635 | 2007-11-02 |
| Find all providers in HAVERTOWN | ||||
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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.