STACY CLARK


Address: 367 Pine St, Springfield, MA 01105-1930
Phone: 4133731426

STACY CLARK (NPI# 1619145497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619145497
Entity Type Individual
Full Name STACY CLARK
Credential MED
Practice Address 367 Pine St
Springfield
MA 01105-1930
Practice Telephone 4133731426
Practice Fax Number 4137394599
Mailing Telephone 4133731426
Mailing Fax Number 4137394599
Enumeration Date 2008-02-14
Last Update Date 2008-02-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Providers STACY CLARK

NPI Name Taxonomy Address Enumeration
1861628380 Stacy Clark Counselor 2156 Seastone Trce, Chesapeake, VA 23321-3777 2009-06-10
1912016494 Stacy Ann Clark Optometrist 1601 E Iron Ave, Salina, KS 67401-3237 2006-08-29
1801841606 Stacy Suzanne Clark Chiropractor 6 Ebco Circle, Waynesboro, VA 22980 2006-05-23
1669012647 Stacy Ann Clark Counselor 460 Briarwood Dr Ste 510, Jackson, MS 39206-3057 2020-01-08
1881047124 Stacy Clark Marriage & Family Therapist 24451 Health Center Dr, Laguna Hills, CA 92653-3689 2016-07-21
1295199941 Stacy Ann Clark Nurse Practitioner 3245 Mount Moriah Ave, Suite 10, Owensboro, KY 42303-7834 2016-04-08
1689950479 Stacy Clark Pharmacist 52482 State Road 933, South Bend, IN 46637-3852 2011-10-25
1053625764 Stacy Clark Psychologist 25 E Washington St, 1719, Chicago, IL 60602-1708 2010-08-05
1114259637 Stacy L Clark Massage Therapist 6290 W Sample Rd, Coral Springs, FL 33067-3101 2010-02-09
1134375314 Stacy Clark Physical Therapist 11623 Arbor St, Omaha, NE 68144-2981 2008-08-07

Office Location

Street Address 367 PINE ST
City SPRINGFIELD
State MA
Zip Code 01105-1930

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164436093 Child and Family Service of Pioneer Valley Clinic/Center 367 Pine St, Springfield, MA 01105-1930 2006-07-28
1851990196 Jacqueline Marie Bonet Counselor 367 Pine St, Springfield, MA 01105-1930 2020-10-19
1386242584 Tammy Rynn Registered Nurse 367 Pine St, Springfield, MA 01105-1930 2020-10-12
1538780093 Raul Ayala Case Manager/Care Coordinator 367 Pine St, Springfield, MA 01105-1930 2020-05-06
1437798394 Tatiana Flores Case Manager/Care Coordinator 367 Pine St, Springfield, MA 01105-1930 2019-12-24
1982243853 Chandra Jackson Social Worker 367 Pine St, Springfield, MA 01105-1930 2019-12-24
1942847439 Migdalia Torres Community Health Worker 367 Pine St, Springfield, MA 01105-1930 2019-12-04
1225683014 Susan Messier Counselor 367 Pine St, Springfield, MA 01105-1930 2019-08-07
1588224521 Kerriann Diana Van Allen Counselor 367 Pine St, Springfield, MA 01105-1930 2019-06-20
1508426644 Shaynice Leticka Robinson Counselor 367 Pine St, Springfield, MA 01105-1930 2019-06-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881166551 Rachael Ellen Buckley Behavioral Analyst 1 Federal Street, Stccac Technical Park, Building 101, 1 East-3, Springfield, MA 01105 2018-12-19
1902380017 Choice Recovery Coaching Inc. Peer Specialist 155 Maple St., Suite 305, Springfield, MA 01105 2018-09-24
1508351107 Breanna Wardwell Psychologist 110 Maple St Ste 110, Springfield, MA 01105 2018-06-26
1538689831 Ruthie May Therrien Counselor 140 High St #230, Springfield, MA 01105 2017-06-27
1124483771 Jane Danette Smith Counselor 15 Mulberry Street, Phoenix House, Springfield, MA 01105 2015-12-28
1043682008 Nancy Hernandez Social Worker 140 High Street Suite 230, South Bay Mental Health Springfield Clinic, Springfield, MA 01105 2015-10-29
1205204567 Yarelis Aquino Social Worker 511 Eastt Columbus Ave, Springfield, MA 01105 2015-09-03
1417376419 Wanda I Perez Student in an Organized Health Care Education/Training Program 367 Pine Street, Springfield, MA 01105 2014-04-08
1275968778 Elizabeth Catherine Grey Social Worker 155 Maple St Ste 304, Springfield, MA 01105 2013-09-04
1891033148 Carol Ouellette Counselor 511 East Columbus Avenue, Springfield, MA 01105 2013-01-22
Find all providers in zip 01105

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427672815 Jana Lynn Purington Counselor 155 Maple St Ste 107, Springfield, MA 01105-1828 2020-06-02
1861015224 Laurie N Tackett Counselor 255 Glenmore Dr, Springfield, OH 45503-3305 2020-05-20
1457993412 Ardavis & Associates, LLC Counselor 2151 W White Oaks Dr Ste D, Springfield, IL 62704-6410 2019-10-11
1396390241 Karley Kassandra Murphy Counselor 3734 South Ave #c, Springfield, MO 65807 2019-08-07
1861057457 Janer Hernandez Counselor 77 Bevier St, Springfield, MA 01107-1316 2019-05-08
1013470608 Aracelis Ruiz Counselor 1108 Carew St, Springfield, MA 01104-2026 2019-04-10
1619432481 Beth Reilly Counselor 57 Duryea St, Springfield, MA 01104-3105 2019-02-06
1023582699 Barbara Ruth Pascoe Counselor 8020 Greeley Blvd, Springfield, VA 22152-3001 2019-01-17
1275000309 Sara Thompson Counselor 2200 E Sunshine St Ste 215, Springfield, MO 65804-1886 2018-10-26
1902305402 Stan Dwane Buford Counselor 3734 South Ave Ste C, Springfield, MO 65807-5291 2018-02-09
Find all providers in SPRINGFIELD

Competitor

Search similar providers

City SPRINGFIELD
Zip Code 01105

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Dataset Information

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.

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