MR. SEAN CLARK (NPI# 1497979298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497979298 |
| Entity Type | Individual |
| Full Name | MR. SEAN CLARK |
| Credential | LMT |
| Practice Address |
151 S College Ave Suite A4 Fort Collins CO 80524-2864 |
| Practice Telephone | 9703052197 |
| Practice Fax Number | 8553009423 |
| Mailing Telephone | 9703052197 |
| Mailing Fax Number | 8553009423 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2015-04-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MT.0016060 | CO | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235681966 | Sean Clark | Pharmacist | 2407 Stringer Gap Rd, Grants Pass, OR 97527-9573 | 2016-10-28 |
| 1801126487 | Sean Clark | Podiatrist | 8757 Sharmead Way, Fair Oaks, CA 95628-6337 | 2010-01-05 |
| 1730283169 | Sean Paul Clark | Chiropractor | 3900 Campus Dr, Newport Beach, CA 92660-2206 | 2006-09-07 |
| 1457864605 | Sean Hoban Clark | Counselor | 2495 Maplewood Dr Ste 312, Maplewood, MN 55109-1985 | 2017-11-09 |
| 1194249029 | Sean William Clark | Pharmacist | 237 William Howard Taft Rd, Cincinnati, OH 45219-2610 | 2017-08-02 |
| 1689078271 | Sean Clark | Counselor | 707 Ne Couch St, Portland, OR 97232-2922 | 2014-10-10 |
| 1669682092 | Sean Joseph Clark | Student in an Organized Health Care Education/Training Program | 619 19th St S, Birmingham, AL 35249-1900 | 2007-05-23 |
| 1528034147 | Sean Clark | Technician, Health Information | 15 Mohegan Ave, Uscg Academy - Michel Hall, New London, CT 06320-8100 | 2006-02-24 |
| Street Address |
151 S COLLEGE AVE SUITE A4 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-2864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083928113 | Carrie Thomas | Counselor | 151 S College Ave, Suite A2, Fort Collins, CO 80524-2864 | 2010-07-30 |
| 1225361637 | Elizabeth D Williams | Social Worker | 151 S College Ave, Suite Ll A2, Fort Collins, CO 80524-2864 | 2009-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740820331 | Colorado Brian Training, Inc | Specialist | 1100 Haxton Dr Unit 105, Fort Collins, CO 80525-6213 | 2020-01-10 |
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1013425941 | Jackie Cooper | Specialist | 3938 John F Kennedy Pkwy Unit 11c, Fort Collins, CO 80525-3087 | 2018-01-12 |
| 1083156715 | Nora K Carolan | Specialist | 120 Buckeye St, Fort Collins, CO 80524-4101 | 2016-11-11 |
| 1861843781 | Kristin Nicole Rhoades | Specialist | 2730 W Elizabeth St, Fort Collins, CO 80521-4004 | 2016-06-22 |
| 1245610757 | Karen Kay Balog | Specialist | 521 Stover St, Fort Collins, CO 80524-3122 | 2015-06-01 |
| 1205241684 | Joseph Culhane | Specialist | 344 E Mountain Ave, Fort Collins, CO 80524-2914 | 2014-06-24 |
| 1457764813 | Elizabeth Eli | Specialist | 1500 S Lemay Ave, Fort Collins, CO 80523 | 2014-06-03 |
| 1366791782 | Jill Willis | Specialist | 3938 John F, Kennedy Parkway, Fort Collins, CO 80525 | 2012-08-30 |
| 1811243363 | Specialty Staffing Solutions, LLC | Specialist | 1001a E Harmony Rd # 256, Fort Collins, CO 80525-3354 | 2012-08-01 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
Please comment or provide details below to improve the information on MR. SEAN 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.