CLARK DAVID EDMOND (NPI# 1457651150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457651150 |
| Entity Type | Individual |
| Full Name | CLARK DAVID EDMOND |
| Credential | LCSW |
| Practice Address |
24885 Whitewood Rd Suite 102 Murrieta CA 92563-2014 |
| Practice Telephone | 9516765154 |
| Practice Fax Number | 9515261015 |
| Mailing Telephone | 9516765154 |
| Mailing Fax Number | 9515261015 |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2013-05-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 25441 | CA | Behavioral Health & Social Service Providers |
| Street Address |
24885 WHITEWOOD RD SUITE 102 |
| City | MURRIETA |
| State | CA |
| Zip Code | 92563-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437232824 | Laura N England | Social Worker | 24885 Whitewood Rd, Suite 103, Murrieta, CA 92563-2004 | 2006-10-23 |
| 1477090520 | Livier Clark | Marriage & Family Therapist | 24885 Whitewood Rd, Murrieta, CA 92563-2014 | 2017-01-27 |
| 1801341177 | Shannon Jamail | Marriage & Family Therapist | 24885 Whitewood Rd, #105, Murrieta, CA 92563-2014 | 2016-08-16 |
| 1144671819 | Deborah Winston | Marriage & Family Therapist | 24885 Whitewood Rd, Ste 105, Murrieta, CA 92563-2014 | 2016-06-23 |
| 1679965305 | Becky Branch | Marriage & Family Therapist | 24885 Whitewood Rd, Murrieta, CA 92563-2014 | 2015-03-04 |
| 1730581802 | Andrea Jo Mcgowan | Counselor | 24885 Whitewood Rd, # 105, Murrieta, CA 92563-2014 | 2014-09-20 |
| 1912248667 | Stephanie C. Garrett | Counselor | 24885 Whitewood Rd, Suite 105, Murrieta, CA 92563-2014 | 2013-03-05 |
| 1093972002 | Tzu-chi Lin | Acupuncturist | 24885 Whitewood Rd, Suite 100, Murrieta, CA 92563-2014 | 2008-05-19 |
| 1689851917 | Mfi Recovery Center | Substance Abuse Rehabilitation Facility | 24885 Whitewood Rd, 105, Murrieta, CA 92563-2014 | 2008-01-29 |
| 1083890768 | Susan R Gamble | Psychologist | 24885 Whitewood Rd, Suite 102, Murrieta, CA 92563-2014 | 2008-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972137073 | Catherine Sanders | Physical Therapist | 39815 Alta Murrieta Drive, Suite C-1, Murrieta, CA 92563 | 2020-02-27 |
| 1588201990 | Joanna Chante Rios Montoya | Case Manager/Care Coordinator | 30755 Auld Rd B, Murrieta, CA 92563 | 2019-12-04 |
| 1881154896 | Just for You Home Care Inc. | In Home Supportive Care | 30535 Marlow Ct., Murrieta, CA 92563 | 2019-03-25 |
| 1548751985 | Day By Day Treatment, Inc. | Clinic/Center | 40119 Murrieta Hot Springs Rd Ste B104, Murrieta, CA 92563 | 2018-05-22 |
| 1952802225 | Temecula Valley Skilled Nursing and Rehabilitation Center, Lp | Skilled Nursing Facility | 25924 Jackson Ave, Murrieta, CA 92563 | 2018-02-22 |
| 1114432721 | May Farrah Blanco Yoshisaki | Nurse Practitioner | 39525 Los Alamos Road, Ste E, Murrieta, CA 92563 | 2017-12-05 |
| 1942721899 | Cecilia Cristina Flores-castillo | Interpreter | 29910 Murrieta Hot Sprngs Rd., Ste. G-235, Murrieta, CA 92563 | 2017-06-30 |
| 1144756354 | Anh-thu Kent | Pharmacist | 40234 Miklich Dr, Murrieta, CA 92563 | 2017-05-08 |
| 1750817177 | Anahita Akbari Farahani | Dentist | 39209 Wichester Rd, Ste 100, Temecula, CA 92563 | 2017-05-04 |
| 1588196612 | Galena Dapra | Nurse Practitioner | 27808 Baxter Rd. Suite 320, Murrieta, CA 92563 | 2017-03-29 |
| Find all providers in zip 92563 | ||||
| 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 |
|---|---|---|---|---|
| 1972137669 | Daisy Dabu Lusung | Social Worker | 31682 Brisa Ct, Murrieta, CA 92563-3229 | 2020-03-03 |
| 1316431034 | Seleste Bowers | Social Worker | 41760 Ivy St Ste 204, Murrieta, CA 92562-9408 | 2018-06-16 |
| 1760917264 | Emily Beltran | Social Worker | 40960 California Oaks Rd # 440, Murrieta, CA 92562-5747 | 2017-04-22 |
| 1326490723 | Michelle Byrd | Social Worker | 31600 Chamise Ln, Murrieta, CA 92563-3310 | 2016-07-08 |
| 1093173742 | Wellqor Psychological Services of California, PC | Social Worker | 25060 Hancock Ave Ste 103-483, Murrieta, CA 92562-5930 | 2016-02-09 |
| 1871958082 | Francesca Jones | Social Worker | 38188 Tranquila Ave, Murrieta, CA 92563-3222 | 2015-12-15 |
| 1972990067 | Michelle Stark | Social Worker | 41419 Pear St, Ste 1, Murrieta, CA 92562-7016 | 2015-04-16 |
| 1326437286 | Merissa Anne Mathews | Social Worker | 25020 Las Brisas Rd Ste 206, Murrieta, CA 92562-4064 | 2015-01-15 |
| 1407141054 | Sharilyn Kay Manning | Social Worker | 27330 Sierra Madre Dr, Murrieta, CA 92563-3810 | 2011-06-11 |
| 1598060477 | Jodi Lynn Petersen | Social Worker | 38980 Cherry Point Ln, Murrieta, CA 92563-8814 | 2011-01-24 |
| Find all providers in MURRIETA | ||||
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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.