MRS. STEPHANIE LYNN CLARK (NPI# 1598156622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598156622 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE LYNN CLARK |
| Credential | M.A. |
| Practice Address |
343 S Kirkwood Rd Ste 200 Kirkwood MO 63122-4015 |
| Practice Telephone | 3147294004 |
| Mailing Telephone | 3147294004 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612605 | Stephanie Clark | Massage Therapist | 15227 Spring Cor, San Antonio, TX 78247-1693 | 2020-09-01 |
| 1811516156 | Stephanie Clark | Social Worker | 10185 Isle St, Parker, CO 80134-5788 | 2020-04-15 |
| 1306486444 | Stephanie Clark | Licensed Practical Nurse | 636 Clay Ave Uppr, Rochester, NY 14613-1030 | 2020-01-07 |
| 1841681046 | Stephanie Clark | Technician, Other | 2917 S Ash Ct, Broken Arrow, OK 74012-7804 | 2015-02-09 |
| 1760816326 | Stephanie Diane Clark | Case Manager/Care Coordinator | 4613 Se 41st St, Del City, OK 73115-3703 | 2013-08-30 |
| 1538447560 | Stephanie Renae Clark | Physical Therapist | 927 Battlefield Blvd N, Suite 200, Chesapeake, VA 23320-4853 | 2011-07-25 |
| 1932330545 | Stephanie D Clark | Social Worker | 16581 Us Highway 17 N Ste 600, Hampstead, NC 28443-7451 | 2009-07-30 |
| 1487719787 | Stephanie Clark | Licensed Practical Nurse | 55 Ramble Hill Lane, Millbrook, NY 12545 | 2006-12-27 |
| 1811057425 | Stephanie Clark | Dentist | 7601 A Germantown Ave, Philadelphia, PA 19119 | 2006-12-12 |
| 1700864733 | Stephanie Elaine Clark | Audiologist | 13934 N 59th Ave, Ste 120, Glendale, AZ 85306-4167 | 2006-01-09 |
| Street Address |
343 S KIRKWOOD RD STE 200 |
| City | KIRKWOOD |
| State | MO |
| Zip Code | 63122-4015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124405410 | Britney Beussink | Social Worker | 343 S Kirkwood Rd, Suite 200, Kirkwood, MO 63122-4015 | 2015-05-06 |
| 1972994762 | Gayle Young | Social Worker | 343 S Kirkwood Rd, Suite 200, Kirkwood, MO 63122-4015 | 2015-02-15 |
| 1457740813 | Crystal M Dokes | Social Worker | 343 S Kirkwood Rd, Kirkwood, MO 63122-4015 | 2015-01-22 |
| 1598175812 | Danielle Armbruster | Social Worker | 343 S Kirkwood Rd, Suite 200, Kirkwood, MO 63122-4015 | 2014-05-08 |
| 1194140095 | Katina Magnussen | Social Worker | 343 S Kirkwood Rd, Suite 200, Kirkwood, MO 63122-4015 | 2014-02-28 |
| 1114342268 | Angela Van Booven | Case Manager/Care Coordinator | 343 S Kirkwood Rd, Kirkwood, MO 63122-4015 | 2014-02-26 |
| 1518381201 | Gail Lathen-farwell | Registered Nurse | 343 S Kirkwood Rd, Kirkwood, MO 63122-4015 | 2014-02-14 |
| 1548684061 | Sara Marie Fohrell | Social Worker | 343 S Kirkwood Rd, Kirkwood, MO 63122-4015 | 2014-02-05 |
| 1770906380 | Stephanie Kitchens | Licensed Practical Nurse | 343 S Kirkwood Rd, Kirkwood, MO 63122-4015 | 2014-02-03 |
| 1740603604 | Kevin Tompkins | Case Manager/Care Coordinator | 343 S Kirkwood Rd, Suite 200, Kirkwood, MO 63122-4015 | 2014-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538564968 | Holley Wright | Case Manager/Care Coordinator | 343 S Kirkwood Rd Ste 200, Kirkwood, MO 63122-6195 | 2014-10-28 |
| 1477972818 | Emily Elizabeth Zaegel | Case Manager/Care Coordinator | 343 S Kirkwood Rd Ste 200, Kirkwood, MO 63122-6195 | 2014-04-14 |
| 1902221856 | Aquilla Dover | Case Manager/Care Coordinator | 343 S Kirkwood Rd Ste 200, Kirkwood, MO 63122-6195 | 2014-03-02 |
| 1114342268 | Angela Van Booven | Case Manager/Care Coordinator | 343 S Kirkwood Rd, Kirkwood, MO 63122-4015 | 2014-02-26 |
| 1740603604 | Kevin Tompkins | Case Manager/Care Coordinator | 343 S Kirkwood Rd, Suite 200, Kirkwood, MO 63122-4015 | 2014-01-29 |
| 1558601252 | Mary Martha Abernathy | Case Manager/Care Coordinator | 343 S Kirkwood Rd, Suite 200, Kirkwood, MO 63122-4015 | 2013-02-18 |
| 1265776041 | Abigail E Ramon | Case Manager/Care Coordinator | 343 S Kirkwood Rd, Sutie 200, Kirkwood, MO 63122-4015 | 2012-11-19 |
| 1790038586 | Laura Elizabeth Fraser | Case Manager/Care Coordinator | 343 S Kirkwood Rd, Suite 200, Kirkwood, MO 63122-4015 | 2012-10-18 |
| 1205189891 | Michael Erlenbush | Case Manager/Care Coordinator | 343 S Kirkwood Rd Ste 200, Kirkwood, MO 63122-6195 | 2012-10-18 |
| 1346591583 | Balram Panthi | Case Manager/Care Coordinator | 343 S Kirkwood Rd, Suite 200, Kirkwood, MO 63122-4015 | 2012-09-27 |
| Find all providers in KIRKWOOD | ||||
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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.