MRS. JOHANNA DANIELA CLARK (NPI# 1508962408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508962408 |
| Entity Type | Individual |
| Full Name | MRS. JOHANNA DANIELA CLARK |
| Credential | LCSW |
| Practice Address |
19 Campus Blvd Ste 102 Delaware County Professional Services Newtown Square PA 19073 |
| Mailing Address |
1204 Holly Lane Glen Mills PA 19342 |
| Practice Telephone | 6103562100 |
| Practice Fax Number | 6103566645 |
| Mailing Telephone | 6103562100 |
| Mailing Fax Number | 6103566645 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CW015431 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750942892 | Johanna Theresa Clark | Nurse Practitioner | 3640 Middlebury Rd, Iowa City, IA 52245-2712 | 2019-06-27 |
| 1487854162 | Johanna J Clark | Specialist/Technologist, Other | 8409 Dunwoody Pl, Atlanta, GA 30350-3367 | 2007-07-20 |
| Street Address |
19 CAMPUS BLVD STE 102 DELAWARE COUNTY PROFESSIONAL SERVICES |
| City | NEWTOWN SQUARE |
| State | PA |
| Zip Code | 19073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434711 | Design Meets Mind, LLC | Clinic/Center | 18 Campus Blvd. Suite 100, Newtown Square, PA 19073 | 2020-07-20 |
| 1437649985 | Main Line Health Integrative and Functional Medicine Services | Clinic/Center | 3803 W Chester Pike Ste 160, Newtown Square, PA 19073 | 2018-05-10 |
| 1013345727 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 4891 West Chester Pike, Newtown Square, PA 19073 | 2013-10-16 |
| 1275879967 | Preethi Alexander | Nurse Practitioner | 3930 West Chester, Pike Minute Clinic, Newtown Square, PA 19073 | 2012-12-27 |
| 1467745810 | Brittany Marie Brooks | Student in an Organized Health Care Education/Training Program | 3500 West Chester Pike, Newtowne Square, PA 19073 | 2011-05-18 |
| 1598066284 | Samuel Disston Allen Jr. | Urology | 523 Guinevere Dr, New Town Square, PA 19073 | 2010-11-11 |
| 1700102688 | Robert Francis Rogers | Pathology | 3805 W Chester Pike Ste 120, Newtown Square, PA 19073 | 2010-04-16 |
| 1184850521 | Mary M Powell | General Practice | 3508 Tyson Rd., Newtown Sq, PA 19073 | 2009-05-29 |
| 1386888121 | Sean Christopher Flynn | Internal Medicine | 4651 W Chester Pike Ste 200, Newtown Square, PA 19073 | 2009-04-23 |
| 1801031331 | Linda Jane Bonsall | Psychologist | 2 Bishop Hollow Road, Newtown Square, PA 19073 | 2008-12-12 |
| Find all providers in zip 19073 | ||||
| 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 |
|---|---|---|---|---|
| 1821635368 | Leslie Lipson | Social Worker | 3855 W Chester Pike Ste 160, Newtown Square, PA 19073-2304 | 2019-12-03 |
| 1073963054 | Catherine Mcnally | Social Worker | 805 Lawrence Ln, Newtown Square, PA 19073-2610 | 2016-06-21 |
| 1164762134 | Karen Elizabeth Pentz | Social Worker | 273 Overbrook Dr, Newtown Square, PA 19073-3408 | 2013-02-27 |
| 1386756856 | Linda Falasco | Social Worker | 17 Bishop Hollow Rd Ste E, Newtown Square, PA 19073-3228 | 2006-08-31 |
| 1427529023 | Thomas R Farrelly | Social Worker | 3625 Chapel Rd, Newtown Square, PA 19073-3602 | 2018-12-09 |
| 1528554458 | Diana Mahoney | Social Worker | 3855 W Chester Pike, Newtown Square, PA 19073-2304 | 2018-07-03 |
| 1427566645 | Bridge of Love II LLC | Social Worker | 18 Campus Blvd Ste 100, Newtown Square, PA 19073-3240 | 2018-01-22 |
| 1922479963 | Next Step Addiction and Counseling Services | Social Worker | 3415 W Chester Pike, Suite 102, Newtown Square, PA 19073-4279 | 2015-10-16 |
| 1417343021 | Bridgette Montgomery | Social Worker | 18 Campus Blvd Ste 100, Newtown Square, PA 19073-3240 | 2015-04-09 |
| 1861895179 | Kimberly Mee-kyung Morrison | Social Worker | 3855 W Chester Pike, Suite 160, Newtown Square, PA 19073-2304 | 2014-09-30 |
| Find all providers in NEWTOWN SQUARE | ||||
| City | NEWTOWN SQUARE |
| Zip Code | 19073 |
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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.