MRS. KIM CLARK (NPI# 1508074311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508074311 |
| Entity Type | Individual |
| Full Name | MRS. KIM CLARK |
| Credential | L.I.C.S.W. |
| Practice Address |
226 Leonard Rd South Royalton VT 05068-9565 |
| Practice Telephone | 8027638773 |
| Mailing Telephone | 8027638773 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0890000559 | VT | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
101057 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | OVN2222 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760638290 | Kim Michele Clark | Registered Nurse | 6820 Nw Grandview Dr, Corvallis, OR 97330-2706 | 2008-08-15 |
| 1700934072 | Kim M. Clark | Massage Therapist | 9508 Canyon Rd E, Puyallup, WA 98371-6302 | 2007-01-05 |
| 1215091095 | Kim M Clark | Optometrist | 12000 Se 82nd Avenue, #2012, Portland, OR 97266-7721 | 2006-12-19 |
| 1497236301 | Kim Clark | Counselor | 1800 Mercy Dr, Orlando, FL 32808-5646 | 2018-08-28 |
| 1225428402 | Kim Clark | Behavioral Analyst | 510 W. 11th Street, Family Solutions, Medford, OR 97501 | 2015-01-27 |
| 1023255940 | Kim Evans Clark | Nurse Anesthetist, Certified Registered | 701 Grove Rd, 2nd Floor Anesthesia, Greenville, SC 29605-5611 | 2009-01-14 |
| 1316135312 | Kim Ann Clark | Case Manager/Care Coordinator | 829 Halbert St, Malvern, AR 72104-2607 | 2007-10-04 |
| 1609069087 | Kim J. Clark | Massage Therapist | 1424 16th Ave, Longview, WA 98632-2901 | 2007-08-20 |
| Street Address |
226 LEONARD RD |
| City | SOUTH ROYALTON |
| State | VT |
| Zip Code | 05068-9565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346335346 | David Maxwell Doolittle | Counselor | 226 Leonard Rd, South Royalton, VT 05068-9565 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376069542 | South Royalton School Based Health Clinic | Counselor | 4266 Vermont Route 14, South Royalton, VT 05068 | 2017-08-18 |
| 1881919363 | Royalton Fire District 1 | Ambulance | 53 Safford Street, South Royalton, VT 05068 | 2010-03-29 |
| 1003834664 | Rebecca A Foulk Md PC | Pediatrics | 79 South Windsor Street, South Royalton, VT 05068 | 2006-07-18 |
| 1962433060 | Frank Batchelder Lamson | Nurse Practitioner | 79 South Windsor St, South Royalton, VT 05068 | 2006-07-06 |
| 1285717967 | Ashley Ann Miller | Pediatrics | 79 South Windsor St, South Royalton, VT 05068 | 2006-10-24 |
| 1841391216 | Full Circle Women's Health, PC | Advanced Practice Midwife | 79 South Windsor St, South Royalton, VT 05068 | 2006-09-26 |
| 1154353274 | Rebecca Ann Foulk | Pediatrics | 79 South Windsor St, South Royalton, VT 05068 | 2006-07-07 |
| 1356633895 | H | Dentist | 79 South Windsor St, South Royalton, VT 05068-0119 | 2011-05-03 |
| 1346330883 | Jeanne Anthony Hover | Social Worker | 79 So. Windsor St On The Green, So. Royalton, VT 05068-0621 | 2006-10-13 |
| 1952935629 | Jake Edward Hewitt | Student in an Organized Health Care Education/Training Program | 1477 Davis Rd, South Royalton, VT 05068-5051 | 2020-03-02 |
| Find all providers in zip 05068 | ||||
| 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 |
|---|---|---|---|---|
| 1902407042 | Katharine Giguere Morris | Social Worker | 358 Bailey Rd, Northfield, VT 05663-6078 | 2020-11-05 |
| 1548874555 | Bryan Wilkinson | Social Worker | 123 Meadow Dr, Colchester, VT 05446-6422 | 2020-09-08 |
| 1871110940 | Hope and Resilience Therapy, LLC | Social Worker | 12 River St Unit 103, Milton, VT 05468-3628 | 2020-07-06 |
| 1346866001 | Timothy Ricciardello | Social Worker | 2948 E Hill Rd, Wolcott, VT 05680-4097 | 2020-06-18 |
| 1376167528 | Diana Keenan | Social Worker | 125 Saint Paul St Ste 106, Burlington, VT 05401-8462 | 2020-06-03 |
| 1073133831 | Gwynn Yandow | Social Worker | 21 Robin Way, Brattleboro, VT 05301-4277 | 2020-04-22 |
| 1891324638 | Christin Guilder | Social Worker | 358 Dupre Dr, Guilford, VT 05301-8795 | 2020-04-03 |
| 1538798491 | Earthside Counseling, LLC | Social Worker | 337 College St Ste 201, Burlington, VT 05401-8344 | 2020-04-03 |
| 1740812239 | Meri Stiles | Social Worker | 172 Pleasant St, Saint Johnsbury, VT 05819-1425 | 2020-02-12 |
| 1881225258 | Ellen Repstad | Social Worker | 312 Rockydale Rd, Bristol, VT 05443-5247 | 2020-02-04 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH ROYALTON |
| Zip Code | 05068 |
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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.