MARY JACKSON CLARK (NPI# 1649559410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649559410 |
| Entity Type | Individual |
| Full Name | MARY JACKSON CLARK |
| Credential | MS, LCPC |
| Practice Address |
904 Washington Rd Ste A Westminster MD 21157-5838 |
| Practice Telephone | 4107519205 |
| Practice Fax Number | 4107516191 |
| Mailing Telephone | 4107519205 |
| Mailing Fax Number | 4107516191 |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LC0855 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958252 | Mary Beth Clark | Speech-Language Pathologist | 18 La Salle Ave, Sioux City, IA 51104-2412 | 2020-06-25 |
| 1205461266 | Mary Clark | Nurse's Aide | 229 Elmhurst Rd, Dayton, OH 45417-1420 | 2020-03-10 |
| 1366981839 | Mary Clark | Acupuncturist | 8380 Six Forks Rd Ste 203, Raleigh, NC 27615-5091 | 2017-02-16 |
| 1740698935 | Mary Christine Clark | Lactation Consultant, Non-RN | 2774 230th St, Cushing, WI 54006-3421 | 2014-07-31 |
| 1982022562 | Mary Clark | Non-emergency Medical Transport (VAN) | 2957 Brogdon Rd, Alcolu, SC 29001-8637 | 2014-04-01 |
| 1760825392 | Mary Elizabeth Clark | Doula | 8634 Oakside Ave, Commerce Township, MI 48382-3763 | 2013-04-13 |
| 1336497460 | Mary Clark | Chiropractor | 298 Federal Hill Rd, Milford, NH 03055-3553 | 2012-08-21 |
| 1730460098 | Mary Jo Clark | Specialist | 2691 Highway 62 412, Highland, AR 72542-9479 | 2011-08-31 |
| 1952691461 | Mary Denise Clark | Doula | 1070 Milo Cir Apt B, Lafayette, CO 80026-3089 | 2011-04-18 |
| 1982860441 | Mary Clemons Clark | Dentist | 1380 Bardstown Rd, Louisville, KY 40204-1356 | 2008-08-04 |
| Street Address |
904 WASHINGTON RD STE A |
| City | WESTMINSTER |
| State | MD |
| Zip Code | 21157-5838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003321548 | Melissa A Doan | Counselor | 904 Washington Rd Ste A, Westminster, MD 21157-5838 | 2017-12-06 |
| 1184133787 | Megan Beth Landis | Social Worker | 904 Washington Rd Ste A, Westminster, MD 21157-5838 | 2017-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523083 | Krista Stanzione | Counselor | 10 Distillery Drive, Ste 200, Westminster, MD 21157 | 2020-09-16 |
| 1487263893 | Jordan Butler | Counselor | Mcdaniel College Wellness Center, 2 College Hill, Westminster, MD 21157 | 2020-07-31 |
| 1558920991 | Ashton Nicole Burnham | Social Worker | 10 Distillery Dr Suite 200, Westminster, MD 21157 | 2019-06-10 |
| 1265903173 | Kathy Denise Omara | Speech-Language Pathologist | 125 North Court Street, Westminster, MD 21157 | 2018-12-17 |
| 1013419837 | Ericka M Walters | Social Worker | 77-81 E. Main Street, Suite 406, Westminster, MD 21157 | 2018-03-07 |
| 1982146353 | Access Carroll, LLC | Clinic/Center | 10 Distillery Drive, Suite 200, Westminster, MD 21157 | 2016-11-16 |
| 1619327293 | Bh Brightview Westminster Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 505 High Acre Drive, Westminster, MD 21157 | 2016-06-15 |
| 1710362926 | Laura Coulter | Social Worker | 280 E Main St Ste 202, Westminster, MD 21157 | 2015-07-29 |
| 1205213436 | Carroll County Health Department | Public Health or Welfare | 290 S. Center Street, Westminster, MD 21157 | 2015-04-27 |
| 1972990489 | Ivy Smink | Registered Nurse | 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 | 2015-04-22 |
| Find all providers in zip 21157 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629675160 | Allison Bratsch, Lpc, LLC | Counselor | 8791 Wolff Ct Ste 230, Westminster, CO 80031-3693 | 2020-10-07 |
| 1497362826 | Stacey Stafford | Counselor | 1511 W 124th Ave Ste 200, Westminster, CO 80234-1882 | 2020-09-29 |
| 1013523083 | Krista Stanzione | Counselor | 10 Distillery Drive, Ste 200, Westminster, MD 21157 | 2020-09-16 |
| 1528609674 | Courageous Counseling Colorado, Pllc | Counselor | 8120 Sheridan Blvd Ste 334c, Westminster, CO 80003-6165 | 2019-09-30 |
| 1295208346 | Thomas John Larrimore | Counselor | 45 Kate Wagner Rd, Westminster, MD 21157-6957 | 2019-01-10 |
| 1043786676 | Kathleen Curry | Counselor | 725 Johahn Dr, Westminster, MD 21158-4241 | 2018-10-22 |
| 1255807590 | Hope Over Hurt Counseling, LLC | Counselor | 2000 W 120th Ave Ste 13, Westminster, CO 80234-2453 | 2018-10-14 |
| 1548755812 | Karen Byrd | Counselor | 247 E Main St # 249, Westminster, MD 21157-5228 | 2018-06-28 |
| 1720576226 | Joseph Gillan | Counselor | 10022 Julian Ct, Westminster, CO 80031-6769 | 2018-04-30 |
| 1952808719 | Amber Marie Adams | Counselor | 4800 W 80th Ave Ste 201, Westminster, CO 80030-4491 | 2018-04-09 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 21157 |
Please comment or provide details below to improve the information on MARY JACKSON 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.