TINA M CLARK (NPI# 1598363665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598363665 |
| Entity Type | Individual |
| Full Name | TINA M CLARK |
| Credential | LSCSW |
| Practice Address |
7150 Millbrook St Shawnee KS 66218-9235 |
| Practice Telephone | 9135228548 |
| Mailing Telephone | 9135228548 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3663 | KS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366972978 | Tina Clark | Community/Behavioral Health | 2951 Albrecht Ave Apt 14, Akron, OH 44312-7406 | 2017-06-15 |
| 1164078069 | Tina Elizabeth Clark | Social Worker | 23700 Camino Del Sol, Torrance, CA 90505-5000 | 2019-08-15 |
| 1871000877 | Tina Marie Clark | Peer Specialist | 411 S Central Ave, Idabel, OK 74745-6059 | 2017-12-29 |
| 1326583196 | Tina Clark | Nurse Practitioner | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2017-01-03 |
| 1730327040 | Tina Clark | Counselor | 221 West Main Street, Jefferson, NC 28640-9723 | 2009-01-23 |
| 1386839843 | Tina Marie Clark | Rehabilitation Counselor | 7200 Skyway, Paradise, CA 95969-3280 | 2007-09-07 |
| 1104030899 | Tina Michelle Clark | Counselor | 135 W Main St, Chehalis, WA 98532-4817 | 2007-05-10 |
| Street Address |
7150 MILLBROOK ST |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66218-9235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568695401 | Judy Ann Wegman | Dietitian, Registered | 18601 Midland Drive, Shawnee, KS 66218 | 2009-08-26 |
| 1790888733 | Alberto Ramon Castaneda | Dentist | 21620 Midland Drive, Suite A, Shawnee, KS 66218 | 2006-09-06 |
| 1205317799 | Calm Connection Counseling, LLC | Clinic/Center | 5905 Longview St, Shawnee, KS 66218-7504 | 2018-08-23 |
| 1245711738 | Candace L Holloman | Counselor | 5905 Longview St, Shawnee, KS 66218-7504 | 2018-08-23 |
| 1124416342 | Shelly Lien | Physical Therapy Assistant | 5934 Theden St, Shawnee, KS 66218-7800 | 2014-12-23 |
| 1770614562 | Valarie Mcneely | Long Term Care Hospital | 5822 Woodstock St, Shawnee, KS 66218-8400 | 2007-03-07 |
| 1750775144 | Kamlesh Trivedi | Pharmacist | 20814 W 72nd Ter, Shawnee, KS 66218-8646 | 2015-03-24 |
| 1205447984 | Brooke Nichole Steiner | Pharmacist | 21702 W 58th St, Shawnee, KS 66218-8933 | 2020-08-14 |
| 1710289418 | Eileen Marita Burrow | Behavioral Analyst | 4905 Lakecrest Dr, Shawnee, KS 66218-8964 | 2010-12-01 |
| 1003168402 | Clint Mcalister | Specialist/Technologist | 6324 Theden St, Shawnee, KS 66218-8975 | 2012-10-09 |
| Find all providers in zip 66218 | ||||
| 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 |
|---|---|---|---|---|
| 1326079989 | Shirley Ann Dawson | Social Worker | 126 N Bell Ave, Shawnee, OK 74801-6902 | 2006-07-05 |
| 1881686103 | June Kay Groth | Social Worker | 6342 Long St, Ste A, Shawnee, KS 66216-2560 | 2005-08-22 |
| 1326600982 | Melissa R Elder | Social Worker | 130 N Broadway Ave Ste 300, Shawnee, OK 74801-6939 | 2019-07-03 |
| 1871088112 | Alyssa Mary Jane Cozad | Social Worker | 905 E Wilson St, Shawnee, OK 74804-4165 | 2018-06-28 |
| 1083130025 | Rhaeanna Corinne Casteel | Social Worker | 101 N Union Ave, Shawnee, OK 74801-7067 | 2017-08-22 |
| 1154873552 | Steven James Randolph Lcsw-acsw | Social Worker | 23 E 9th St, Ste 321, Shawnee, OK 74801-6943 | 2016-11-01 |
| 1902353790 | Elizabeth Hicks | Social Worker | 101 N Union Ave, Shawnee, OK 74801-7067 | 2016-09-08 |
| 1083016968 | Linda Johns | Social Worker | 101 N Union Ave, Shawnee, OK 74801-7067 | 2014-09-22 |
| 1114365541 | Richard Bollig | Social Worker | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2013-06-07 |
| 1902158058 | Davod Andrew Nematpour | Social Worker | 101 N Union Ave, Shawnee, OK 74801-7067 | 2012-10-12 |
| Find all providers in SHAWNEE | ||||
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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.