MS. CORAL JUNE CLARK (NPI# 1558847343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558847343 |
| Entity Type | Individual |
| Full Name | MS. CORAL JUNE CLARK |
| Credential | MS, LSW |
| Practice Address |
1500 Route 88 W Brick NJ 08724-2320 |
| Mailing Address |
482 Muller Ave Bayville NJ 08721-3444 |
| Practice Telephone | 7327851900 |
| Mailing Telephone | 7327700019 |
| Enumeration Date | 2018-07-14 |
| Last Update Date | 2018-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
44SL06366100 | NJ | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 44SL06366100 | NJ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 36 W Water St Ste 1a, Toms River, NJ 087537414 | 7323495550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518097419 | Coral A Clark | Driver | 128 Scenega, Valdez, AK 99686 | 2007-03-07 |
| Street Address |
1500 ROUTE 88 W |
| City | BRICK |
| State | NJ |
| Zip Code | 08724-2320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609868579 | Anne Catherine Albiez | Nurse Practitioner | 1500 Route 88 W, Brick, NJ 08724-2320 | 2005-08-17 |
| 1134635691 | Lauren Joyce | Social Worker | 1500 Route 88 W, Brick, NJ 08724-2320 | 2017-12-20 |
| 1912435611 | Georgette Barkala | Counselor | 1500 Route 88 W, Brick, NJ 08724-2320 | 2017-05-25 |
| 1699219360 | Camille Anna Limongelli-acosta | Counselor | 1500 Route 88 W, Brick, NJ 08724-2320 | 2016-12-14 |
| 1518332600 | Andrea Licari | Counselor | 1500 Route 88 W, Brick, NJ 08724-2320 | 2015-12-01 |
| 1114240074 | Preferred Behavioral Health Consulting Group, Inc. | Community/Behavioral Health | 1500 Route 88 W, Brick, NJ 08724-2320 | 2010-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
| 1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
| 1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
| 1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
| 1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
| 1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
| 1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
| 1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
| 1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
| Find all providers in zip 08724 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215563184 | Lisa Marie Dittman | Counselor | 3 Creek Rd, Brick, NJ 08724-3305 | 2020-03-22 |
| 1730565748 | Melissa Murphy | Counselor | 220 Jack Martin Blvd # E2, Brick, NJ 08724-7772 | 2015-08-03 |
| 1689008245 | Anne Elizabeth Heinrichs | Counselor | 1451 Route 88 Ste 4b, Brick, NJ 08724-2371 | 2013-08-30 |
| 1346579661 | Deanna L Dicorcia | Counselor | 95 Bayview Dr, Brick, NJ 08723-7452 | 2009-12-16 |
| 1376688986 | Life Excel, LLC | Counselor | 35 Beaverson Blvd Ste 1d, Brick, NJ 08723-7854 | 2007-02-21 |
| 1043304876 | Thomas Chemris, Lcsw,llc | Counselor | 1613 Rte 88 West Suite6, Brick, NJ 08724 | 2006-10-03 |
| 1710995139 | Clifford Vincent Vannest | Counselor | 1868 Route 88, Brick, NJ 08724-3535 | 2006-08-03 |
| 1972570216 | Eileen Delhagen | Counselor | 2095 Route 88, Suite 3, Brick, NJ 08724-3265 | 2006-03-07 |
| 1649767609 | Alexandra Howlett | Counselor | 1500 Route 88, Brick, NJ 08724-2320 | 2018-04-16 |
| 1568963502 | Erica Whitney | Counselor | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2018-02-26 |
| Find all providers in BRICK | ||||
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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.