MRS. JENNIFER PAVLIK CLARK (NPI# 1598150922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598150922 |
Entity Type | Individual |
Full Name | MRS. JENNIFER PAVLIK CLARK |
Credential | LMHC |
Practice Address |
1801 Miccosukee Commons Dr Tallahassee FL 32308-5433 |
Practice Telephone | 8509210772 |
Enumeration Date | 2015-04-02 |
Last Update Date | 2015-04-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH11625 | FL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932723038 | Jennifer Michelle Clark | Social Worker | 22 Norva Ave, Frederick, MD 21701-6279 | 2020-06-04 |
1982249926 | Jennifer Rae Clark | Nurse Practitioner | 2800 E League City Pkwy Apt 216, League City, TX 77573-1676 | 2019-11-13 |
1528546827 | Jennifer Clark | Technician | 59 Forrester St Sw Apt B, Washington, DC 20032-2120 | 2018-07-30 |
1265940340 | Jennifer Anne Clark | Counselor | 35 Pulaski Rd, Whitehouse Station, NJ 08889-3516 | 2018-01-11 |
1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
1295124899 | Jennifer Clark | Behavioral Analyst | 662 Lake George Dr, Melbourne, FL 32940-2221 | 2015-01-20 |
1851707194 | Jennifer Sara Clark | Physical Therapist | 797 Evergreen Dr, West Hempstead, NY 11552-3406 | 2014-07-08 |
1083988794 | Jennifer Makiki Clark | Health Educator | 5858 Wilshire Blvd Ste 300, Los Angeles, CA 90036-4509 | 2012-02-27 |
1639484520 | Jennifer Ann Clark | Speech-Language Pathologist | 5903 Neptune Dr, Fort Collins, CO 80525-3905 | 2010-08-16 |
1245567247 | Jennifer Selleck Clark | Nurse Practitioner | 1840 Martin Luther King Jr Blvd Ste C4, Chapel Hill, NC 27514 | 2009-11-11 |
Street Address |
1801 MICCOSUKEE COMMONS DR |
City | TALLAHASSEE |
State | FL |
Zip Code | 32308-5433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720096480 | Caroyln Brown Treadon | Counselor | 1801 Miccosukee Commons Dr, Tallahassee, FL 32308-5433 | 2006-08-04 |
1598365405 | Sarah Lee Christovich | Social Worker | 1801 Miccosukee Commons Dr, Tallahassee, FL 32308-5433 | 2020-10-29 |
1225647522 | Chrishondra Dionna Webb | Social Worker | 1801 Miccosukee Commons Dr, Tallahassee, FL 32308-5433 | 2020-07-23 |
1154942597 | Tameka L. Footman | Social Worker | 1801 Miccosukee Commons Dr, Tallahassee, FL 32308-5433 | 2020-04-27 |
1891327680 | Garret Nathaniel Sloan | Counselor | 1801 Miccosukee Commons Dr, Tallahassee, FL 32308-5433 | 2020-02-10 |
1003475252 | Shauntavia Clinton | Social Worker | 1801 Miccosukee Commons Dr, Tallahassee, FL 32308-5433 | 2019-06-11 |
1851950091 | Amanda Akin | Social Worker | 1801 Miccosukee Commons Dr, Tallahassee, FL 32308-5433 | 2019-06-11 |
1174186282 | Tijwana Bryant | Social Worker | 1801 Miccosukee Commons Dr, Tallahassee, FL 32308-5433 | 2019-04-16 |
1346736709 | Anastacia Kizer | Social Worker | 1801 Miccosukee Commons Dr, Tallahassee, FL 32308-5433 | 2018-07-09 |
1215429113 | Juliet Christene Brown | Case Manager/Care Coordinator | 1801 Miccosukee Commons Dr, Tallahassee, FL 32308-5433 | 2018-06-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
Find all providers in zip 32308 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538773395 | Keshia Latoya Coffie | Counselor | 1833 Halstead Blvd Apt 407, Tallahassee, FL 32309-3472 | 2020-08-31 |
1063023059 | Sarah Farmer | Counselor | 1910 Longview Dr, Tallahassee, FL 32303-7322 | 2020-08-12 |
1316558729 | Megan Dasbach | Counselor | 1120 Carissa Dr, Tallahassee, FL 32308-5219 | 2020-08-11 |
1972113819 | Alyssa L Lapp | Counselor | 317 Stone House Rd, Tallahassee, FL 32301-3355 | 2020-08-05 |
1023635885 | Kimberly Damron | Counselor | 1624 Norwood Ln, Tallahassee, FL 32312-4115 | 2020-06-28 |
1083242309 | Sarah Jane Burke | Counselor | 1009 Pine St, Tallahassee, FL 32303-6437 | 2020-03-31 |
1578198248 | Thomson Ivins | Counselor | 175 Geddie Rd, Tallahassee, FL 32304 | 2020-03-03 |
1285270520 | Norine Cardea | Counselor | The Healing Center, 847 East Park Avenue, Tallahassee, FL 32301 | 2019-11-21 |
1184268203 | Josue Jean | Counselor | 1111 High Rd Apt C101, Tallahassee, FL 32304-1835 | 2019-10-31 |
1427609700 | Rene Blue | Counselor | 2750 Old Saint Augustine Rd Apt Q173, Tallahassee, FL 32301-6228 | 2019-09-27 |
Find all providers in TALLAHASSEE |
City | TALLAHASSEE |
Zip Code | 32308 |
Please comment or provide details below to improve the information on MRS. JENNIFER PAVLIK 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.