TERESA CLARK (NPI# 1538373337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538373337 |
| Entity Type | Individual |
| Full Name | TERESA CLARK |
| Credential | LCSW, LADC |
| Practice Address |
721 Bath Rd Wiscasset ME 04578-4830 |
| Practice Telephone | 2078825300 |
| Mailing Telephone | 2078825300 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2018-04-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LC3953 | ME | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LC10536 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | TAX ID | 82-2931653 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144779778 | Teresa Clark | Contractor | 2304 W Gordon Ave Apt 218, Albany, GA 31707-4607 | 2016-09-23 |
| 1750624904 | Teresa Louise Clark | Licensed Vocational Nurse | 2121 E 1st St, 306, Long Beach, CA 90803-2418 | 2013-04-05 |
| 1689759516 | Teresa Marie Clark | Dental Assistant | 7218 Birch Bark Drive, Fairview, TN 37062 | 2006-10-26 |
| 1538194261 | Teresa Elaine Clark | Internal Medicine | 2920 S Pharr Ct Nw, Atlanta, GA 30305-2104 | 2006-07-11 |
| 1407827561 | Teresa Jean Clark | Physical Therapist | 40900 Merchants Lane, Suite 202, Leonardtown, MD 20650 | 2006-01-27 |
| 1962931733 | Teresa Octavia Clark | Case Manager/Care Coordinator | 9403 Mansfield Rd, Shreveport, LA 71118-3815 | 2017-06-06 |
| 1235585563 | Teresa A Clark | Nurse Practitioner | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2016-05-05 |
| 1912307109 | Teresa M Clark | Occupational Therapist | 301 Highway 65 S, Mora, MN 55051-1899 | 2014-08-26 |
| 1871853622 | Teresa Sha Clark | Social Worker | 700 Childrens Dr, Clinical Services and Care Coordination, Columbus, OH 43205-2664 | 2012-05-25 |
| 1962701482 | Teresa May Clark | Occupational Therapist | 815 Triplett St, Owensboro, KY 42303-3564 | 2011-03-23 |
| Street Address |
721 BATH RD |
| City | WISCASSET |
| State | ME |
| Zip Code | 04578-4830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447747696 | Freedom Christian Counseling, Pllc | Counselor | 721 Bath Rd, Wiscasset, ME 04578-4830 | 2018-04-13 |
| 1568645869 | The Pain Management Center of Midcoast Maine | Pain Medicine | 721 Bath Rd, Wiscasset, ME 04578 | 2007-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942728332 | Mackenzie Erin Chancellor | Dental Hygienist | 186 Lowelltown Rd, Wiscasset, ME 04578 | 2017-09-06 |
| 1508302803 | Allary R. Grasso | Social Worker | 106 Pooler Pit Road, Wiscasset, ME 04578 | 2017-01-10 |
| 1053781690 | Maryanne Seredynski | Counselor | 54 Water St, Wiscasset, ME 04578 | 2015-09-25 |
| 1285867044 | Edward B Kitfield IIi | Family Medicine | 66 Water Street, Wiscasset, ME 04578 | 2009-08-27 |
| 1568503977 | Catherine Bunin-stevenson | Dentist | 93 Churchill Street, Wiscasset, ME 04578 | 2007-02-09 |
| 1356318521 | Town of Wiscasset | Ambulance | 51 Bath Rd, Wiscasset, ME 04578 | 2006-03-07 |
| 1821079237 | James Fine | Psychiatry & Neurology | 43 Hooper St., Wiscasset, ME 04578 | 2005-11-11 |
| 1013919182 | Daniel M. Friedland | Family Medicine | 49 Hooper St., Miles Family Medicine - Wiscasset, Wiscasset, ME 04578 | 2005-06-02 |
| 1659681492 | Stephen Thomas Dexter | Counselor | 43 Hooper St., Wiscasset, ME 04578 | 2010-10-14 |
| 1285759092 | Laurie A Thompson | Dental Hygienist | 93 Churchill Street, Wiscasset Dental, Wiscasset, ME 04578 | 2007-03-20 |
| Find all providers in zip 04578 | ||||
| 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 |
|---|---|---|---|---|
| 1508302803 | Allary R. Grasso | Social Worker | 106 Pooler Pit Road, Wiscasset, ME 04578 | 2017-01-10 |
| 1730467952 | Andrea R Mooney | Social Worker | 343 Birch Point Rd, Wiscasset, ME 04578-4900 | 2011-07-22 |
| 1336455427 | Kristen L Travers-whitmore | Social Worker | 2 Hammond St, Wiscasset, ME 04578-4033 | 2010-08-26 |
| 1003819962 | Charles Robert May | Social Worker | 71 Main St, Wiscasset, ME 04578-4136 | 2005-05-24 |
| 1487743886 | Marc A Dionne | Social Worker | 66 Water St, Wiscasset, ME 04578-4133 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578457 | Julia L Orr | Social Worker | 20 Cheverus Rd, Cape Elizabeth, ME 04107-1204 | 2020-11-06 |
| 1265032957 | Randy Neblett | Social Worker | 104 Main St Unit 1105, Blue Hill, ME 04614-1743 | 2020-10-30 |
| 1871100867 | Purely Spirit Holistic Health, LLC | Social Worker | 226 Stevens Ave Apt 9, Portland, ME 04102-2263 | 2020-09-24 |
| 1831704964 | Cary Rae Millbury | Social Worker | 16 Middle Street, Farmington, ME 04938 | 2020-09-15 |
| 1508471095 | Tighe Blackadar | Social Worker | 46 Evans Rd, Bridgton, ME 04009-3957 | 2020-09-10 |
| 1245845130 | Crescent Psychotherapy | Social Worker | 168 Neal St, Portland, ME 04102-3343 | 2020-09-09 |
| 1295348894 | Alicyn Faythe Romprey | Social Worker | 5 Bragdon Ln, Kennebunk, ME 04043-7262 | 2020-08-25 |
| 1639781354 | Inner Knowing Clinical Therapy LLC | Social Worker | 117 Brown Rd, Durham, ME 04222-5213 | 2020-08-24 |
| 1629687454 | Rebekah Jean Hadiaris | Social Worker | 5 Hadiaris Ln, Saco, ME 04072-1669 | 2020-07-28 |
| 1699383315 | Tracy Flagg | Social Worker | Sacopee Valley Middle School, 137 South Hiram Rd, Hiram, ME 04041 | 2020-07-20 |
| Find all providers with the same taxonomy | ||||
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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.