MRS. SANDRA CLARK (NPI# 1659592962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659592962 |
| Entity Type | Individual |
| Full Name | MRS. SANDRA CLARK |
| Credential | L.C.S.W. |
| Practice Address |
2386 Clower St Suite 201 Snellville GA 30078-6134 |
| Practice Telephone | 4042762310 |
| Practice Fax Number | 7708608315 |
| Mailing Telephone | 4042762310 |
| Mailing Fax Number | 7708608315 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW002450 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
| 1013568039 | Sandra D Clark | Technician | 718 W 14th St, Junction City, KS 66441-2129 | 2019-09-20 |
| 1972980001 | Sandra Clark | Counselor | 66950 Ironwood Dr Apt 223, Desert Hot Springs, CA 92240-4401 | 2015-04-27 |
| 1154750586 | Sandra Clark | Social Worker | 3805 Woodside Dr, Sanford, NC 27332-8110 | 2013-11-06 |
| 1205142106 | Sandra Denice Clark | Counselor | 5701 N Hills St, Meridian, MS 39307-2903 | 2010-08-30 |
| 1003141425 | Sandra Ellen Clark | Speech-Language Pathologist | 242 Maple Dr, Shippenville, PA 16254-9022 | 2009-10-03 |
| 1487890489 | Sandra Marie Clark | Registered Nurse | 312 E 207th St, Bronx, NY 10467-4202 | 2008-12-21 |
| 1669623708 | Sandra Kay Clark | Behavioral Analyst | 16503 W Mckinley St, Goodyear, AZ 85338-6170 | 2008-10-07 |
| 1669696019 | Sandra Clark | Social Worker | 534 S Terrace Rd, Chandler, AZ 85226-4626 | 2007-04-13 |
| 1578692463 | Sandra Clark | Radiologic Technologist | 139 County Road 379, Water Valley, MS 38965-3607 | 2007-03-05 |
| Street Address |
2386 CLOWER ST SUITE 201 |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-6134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144321175 | Alan F Mcewen | Chiropractor | 2386 Clower St, Suite G102, Snellville, GA 30078-6134 | 2006-09-25 |
| 1831513365 | Le Concierge Home Care Solutions | Home Health | 2386 Clower St, Suite 101, Snellville, GA 30078-6134 | 2014-02-04 |
| 1053734806 | Le Concierge Home Care Solutions | Home Health | 2386 Clower St, Suite 101, Snellville, GA 30078-6134 | 2014-01-30 |
| 1245528835 | Catherine Adams | Counselor | 2386 Clower St, C-211, Snellville, GA 30078-6134 | 2011-07-16 |
| 1215260666 | Clark Counseling & Consulting, Inc. | Counselor | 2386 Clower St, Building C, Suite 100, Snellville, GA 30078-6134 | 2009-09-16 |
| 1679715627 | Alternative Home Care for Seniors | Home Health | 2386 Clower St, Snellville, GA 30078-6134 | 2009-04-06 |
| 1154563286 | Sovereign Personal Services | In Home Supportive Care | 2386 Clower St, Bldg D, Suite 100d, Snellville, GA 30078-6134 | 2009-04-06 |
| 1336398742 | Sunrise Counseling, Inc. | Community/Behavioral Health | 2386 Clower St, Bldg C, Suite 100, Snellville, GA 30078-6134 | 2008-09-10 |
| 1154508406 | Staci Lynn Jackson | Occupational Therapist | 2386 Clower St, Bld E, Ste 102, Snellville, GA 30078-6134 | 2008-01-29 |
| 1043497084 | Mcewen Chiropractic Center, Inc. | Chiropractor | 2386 Clower St, Suite G/102, Snellville, GA 30078-6134 | 2008-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| 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 |
|---|---|---|---|---|
| 1629675756 | Donnette Grant | Social Worker | 5030 Duval Point Way Sw, Snellville, GA 30039-7623 | 2020-10-01 |
| 1184243073 | David Shane Donaldson | Social Worker | 1873 Raintree Ct, Snellville, GA 30078-2117 | 2020-04-10 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1720639834 | Jocelyn C Baugh | Social Worker | 4552 Raptor Pl, Snellville, GA 30039-2738 | 2019-09-20 |
| 1326574260 | Katrice Hollins | Social Worker | 402 Grassmeade Way, Snellville, GA 30078-7784 | 2017-05-11 |
| 1942661087 | Marva Reagan | Social Worker | 4035 Gail Lee Ter, Snellville, GA 30039-5291 | 2016-03-17 |
| 1659756674 | Carisa Sellers | Social Worker | 3522 Louella Lake Ct, Snellville, GA 30039-3372 | 2015-07-21 |
| 1356749139 | Susan Elizabeth Picart | Social Worker | 2169 Baywood Tree Ln, Snellville, GA 30078-3085 | 2014-12-10 |
| 1063826352 | Robyn Bluford | Social Worker | 3550 Southern Bay Ct, Snellville, GA 30039-8621 | 2014-06-16 |
| 1639418213 | Tangrill Varner | Social Worker | 2330 Scenic Hwy S Ste 107, Snellville, GA 30078-3115 | 2013-02-03 |
| Find all providers in SNELLVILLE | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
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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.