RICHELLE L CLARK (NPI# 1558863746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558863746 |
| Entity Type | Individual |
| Full Name | RICHELLE L CLARK |
| Credential | LPCMH, NCC |
| Practice Address |
401 N Bedford St Georgetown DE 19947-2197 |
| Mailing Address |
25668 N Parkway Rd Seaford DE 19973-8441 |
| Practice Telephone | 3024488094 |
| Mailing Telephone | 3024488094 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
PC-0000858 | DE | Behavioral Health & Social Service Providers |
| Street Address |
401 N BEDFORD ST |
| City | GEORGETOWN |
| State | DE |
| Zip Code | 19947-2197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255597647 | Vincenza Linda Fabber | Counselor | 401 N Bedford St, Georgetown, DE 19947-2197 | 2008-08-05 |
| 1376157958 | Melinda Dubinski | Social Worker | 401 N Bedford St, Georgetown, DE 19947-2197 | 2020-09-01 |
| 1053857227 | Verde Loma | Community/Behavioral Health | 401 N Bedford St, Georgetown, DE 19947-2197 | 2017-01-12 |
| 1154735926 | Linda Diane Blowey | Counselor | 401 N Bedford St, Georgetown, DE 19947-2197 | 2014-06-19 |
| 1346511821 | Rachel Lynn Eaton | Counselor | 401 N Bedford St, Georgetown, DE 19947-2197 | 2012-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417454794 | Adrienne Evans | Counselor | 20505 Dupont Blvd., Georgetown, DE 19947 | 2018-04-12 |
| 1912416637 | Michael Christopher Davis | Registered Nurse | 18945 East Redden Road, Georgetown, DE 19947 | 2017-09-26 |
| 1558891143 | Anthony Powell | Registered Nurse | 18357 Dupont Blvd, Georgetown, DE 19947 | 2017-06-15 |
| 1295262905 | Christa Rodriguez | Registered Nurse | 22975 Lewes Georgetown Hwy, Georgetown, DE 19947 | 2017-05-12 |
| 1851847610 | Leticia Howell | Social Worker | 411 South Bedford Street, Georgetown, DE 19947 | 2016-08-31 |
| 1649628637 | Penelope Pitts | Counselor | 20707 N Dupont Boulevard, Georgetown, DE 19947 | 2016-05-31 |
| 1972996361 | Rocky Mountain Holdings, LLC | Ambulance | 21479 Rudder Ln, Georgetown, DE 19947 | 2015-03-10 |
| 1639413867 | Sheri Lynn Mcafee-garner | Nurse Practitioner | 23203 Dupont Blvd, Georgetown, DE 19947 | 2012-11-09 |
| 1417205071 | Amber Nichole West | Occupational Therapy Assistant | 110 West North Street, Georgetown, DE 19947 | 2012-08-29 |
| 1104130657 | Brain Works Incorporated | Counselor | 20155 Office Circle, Suite 2 Georgetown Professional Park, Georgetown, DE 19947 | 2010-07-27 |
| Find all providers in zip 19947 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709482 | Alexxis Nicole Warford | Counselor | 505 W University Ave Ste 105, Georgetown, TX 78626-6643 | 2020-10-26 |
| 1740888742 | Bryan Hutchison | Counselor | 141 Mountain Valley St, Georgetown, TX 78628-2199 | 2020-10-12 |
| 1780294223 | Pathways To Success, Inc. | Counselor | 31 The Cir Ste A&b, Georgetown, DE 19947-1506 | 2020-08-07 |
| 1043829575 | Jodi Marie Gregory | Counselor | 505 W University Ave Ste E, Georgetown, TX 78626-6659 | 2020-07-30 |
| 1932726544 | Nicholas Bernard Rogell | Counselor | 2307 Rivet Path, Georgetown, KY 40324-8110 | 2020-06-30 |
| 1629559570 | Sarah Ann Gideon | Counselor | 406 West St, Georgetown, TX 78626-4945 | 2018-08-28 |
| 1821537002 | Lesa Young | Counselor | 112 Gatewood Drive, Georgetown, KY 40324 | 2017-02-21 |
| 1932644382 | Caroline Ryan Counseling | Counselor | 84 Warren St, Georgetown, MA 01833-1234 | 2016-12-21 |
| 1285086314 | John Hayes | Counselor | 410 S Bedford St, Georgetown, DE 19947-1850 | 2016-07-13 |
| 1558747485 | Seth Miller | Counselor | 4118 Williams Dr, Georgetown, TX 78628-1335 | 2015-08-03 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 19947 |
Please comment or provide details below to improve the information on RICHELLE L CLARK.
| 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.