BRIDGET SHOUSE CLARK (NPI# 1528536059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528536059 |
| Entity Type | Individual |
| Full Name | BRIDGET SHOUSE CLARK |
| Credential | LCSWA |
| Practice Address |
6271 Horner Siding Rd Oxford NC 27565 |
| Mailing Address |
6271 Horner Siding Rd Oxford NC 27565-7563 |
| Practice Telephone | 9196034408 |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P012712 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841688520 | Bridget Clark | Speech-Language Pathologist | 128 Atlanta Way, Bowling Green, KY 42103-7093 | 2015-01-02 |
| 1477865327 | Bridget Eileen Clark | Speech-Language Pathologist | 137 W Parker Rd Ste A, Morganton, NC 28655-4622 | 2010-07-08 |
| 1912476037 | Bridget Megan Clark | Behavior Technician | 1069 Hempstead Tpke, Franklin Square, NY 11010-2631 | 2018-11-19 |
| 1598267650 | Bridget Clark | Specialist/Technologist | 541 Main St, New London, NH 03257-7818 | 2018-03-05 |
| 1265970578 | Bridget Clark | Case Manager/Care Coordinator | 119 Herriford Curve Road, Jamestown, KY 42629-2520 | 2017-02-07 |
| 1912264292 | Bridget M. Clark | Psychiatry & Neurology | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2012-04-11 |
| 1528174257 | Bridget Clark | Physical Therapist | 13805 Research Blvd Ste 150, Austin, TX 78750-1400 | 2006-08-23 |
| Street Address |
6271 HORNER SIDING RD |
| City | OXFORD |
| State | NC |
| Zip Code | 27565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378855 | Champion Heart and Vascular Center, Oxford Pllc | Internal Medicine | 1614 Williamsboro Street, Oxford, NC 27565 | 2020-05-20 |
| 1972038495 | Brittany Adams | Pharmacist | 215 Williamsboro Street, Oxford, NC 27565 | 2017-04-21 |
| 1487199568 | Duke University Affiliated Physicians, Inc. | Family Medicine | 1490 Williamsboro St., Oxford, NC 27565 | 2016-12-29 |
| 1801343819 | Four County Orthopedics Pa | Orthopaedic Surgery | 103 Professional Park Drive, Suite C, Oxford, NC 27565 | 2016-09-07 |
| 1548644842 | Drake Frazier and Mcneal, Dds, Pa | Dentist | 115 Williamsboro St., Oxford, NC 27565 | 2015-07-16 |
| 1982082251 | Colleen Moore | Pharmacist | 700 B Hillsboro St, Oxford, NC 27565 | 2015-05-07 |
| 1073753497 | Yashica Yvonne Ruffin | Family Medicine | 1015 Lewis Street, Oxford, NC 27565 | 2009-02-25 |
| 1205021631 | Helping Hands Alternative Inc | Home Health | 121 East Mcclanahan Street, Oxford, NC 27565 | 2007-09-10 |
| 1730380874 | Hushang Ghodrat, Dds, Pa | Dentist | 1419 College Street, Suite B, Oxford, NC 27565 | 2007-05-29 |
| 1679780951 | William Alexander Drake | Dentist | 1215 Se Industry Dr., Oxford, NC 27565 | 2007-05-17 |
| Find all providers in zip 27565 | ||||
| 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 |
|---|---|---|---|---|
| 1770193559 | Brian Droubay | Social Worker | 703 Meadowlake Cv, Oxford, MS 38655-9662 | 2020-08-05 |
| 1518525518 | Jennifer Decre Boretti | Social Worker | 2154 Eagles Wing Ln, Oxford, NC 27565-7934 | 2019-06-04 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1154985422 | Anna Roosevelt | Social Worker | 303 N 3rd St # 2, Oxford, PA 19363-1429 | 2019-04-23 |
| 1427512029 | Lasonia Williams | Social Worker | 182 Alan Dr, Oxford, AL 36203-4116 | 2019-01-28 |
| 1396220109 | Kelly Marie Morse | Social Worker | 20 Toria Heights Rd, Oxford, MA 01540-2071 | 2018-09-27 |
| 1598270357 | Victoria Douglas | Social Worker | 12399 Ne 51st Ter, Oxford, FL 34484-9610 | 2017-12-02 |
| 1164977260 | Ccare Counseling LLC | Social Worker | 507 S College Ave Ste F, Oxford, OH 45056-2211 | 2016-08-18 |
| 1558720730 | Dilisa Toles | Social Worker | 152 Highway 7 South, Oxford, Ms 38655, Oxford, MS 38655-5392 | 2016-02-17 |
| 1568881050 | Heather Lin Rosenquist | Social Worker | 130 Charlton St, # 3, Oxford, MA 01540-2077 | 2014-04-10 |
| Find all providers in OXFORD | ||||
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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.