DOROTHY CLARK (NPI# 1689293235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689293235 |
| Entity Type | Individual |
| Full Name | DOROTHY CLARK |
| Credential | LPC |
| Practice Address |
110 S 12th St Waco TX 76701-1810 |
| Mailing Address |
Po Box 890 Waco TX 76703-0890 |
| Practice Telephone | 2547523451 |
| Practice Fax Number | 2547563133 |
| Mailing Telephone | 2547523451 |
| Mailing Fax Number | 2547563133 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
80395 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720083959 | Dorothy Clark | Plastic Surgery | 1707 Nicholasville Rd, Lexington, KY 40503-1403 | 2005-06-15 |
| 1346523495 | Dorothy Clark | Registered Nurse | 49 E Elizabeth St, Skaneateles, NY 13152-1337 | 2011-09-26 |
| 1326266834 | Dorothy Clark | Counselor | 350 Elk St, Rapid City, SD 57701-7351 | 2007-04-22 |
| 1205969359 | Dorothy Margaret Clark | Licensed Practical Nurse | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2007-03-14 |
| Street Address |
110 S 12TH ST |
| City | WACO |
| State | TX |
| Zip Code | 76701-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588658298 | Allen L Hueston | Psychiatry & Neurology | 110 S 12th St, Waco, TX 76701-1810 | 2005-09-08 |
| 1639792534 | Ana Chatham | Social Worker | 110 S 12th St, Waco, TX 76701-1810 | 2020-05-26 |
| 1881243715 | Ashley Rosenstein | Counselor | 110 S 12th St, Waco, TX 76701-1810 | 2019-09-04 |
| 1346802337 | Mealika D. Brown | Counselor | 110 S 12th St, Waco, TX 76701-1810 | 2019-07-01 |
| 1184189110 | John Mccoy | Nurse Practitioner | 110 S 12th St, Waco, TX 76701-1810 | 2019-02-04 |
| 1710455563 | Kaylyn Muscarello | Counselor | 110 S 12th St, Waco, TX 76701-1810 | 2018-11-09 |
| 1053828681 | Chelsea Layne Kramer | Social Worker | 110 S 12th St, Waco, TX 76701-1810 | 2018-01-04 |
| 1225544919 | Joy Pfanner | Social Worker | 110 S 12th St, Waco, TX 76701-1810 | 2017-12-18 |
| 1891209136 | Heather Travers | Counselor | 110 S 12th St, Waco, TX 76701-1810 | 2017-11-22 |
| 1124532767 | Anastasia Jewel Moye | Counselor | 110 S 12th St, Waco, TX 76701-1810 | 2017-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780005744 | Cenikor Foundation | Counselor | 900 Austin Avenue, Suite 1103, Waco, TX 76701 | 2013-12-18 |
| 1730412073 | Lauren Corinne Smith | Occupational Therapist | 900 Washington Avenue, Waco, TX 76701 | 2009-09-17 |
| 1750554093 | Juanita Castillo | Internal Medicine | 1226 Washington Avenue, Waco, TX 76701 | 2008-04-08 |
| 1306958426 | Daniel Ray Davis | Dentist | 2305 Austin, Waco, TX 76701 | 2006-08-31 |
| 1003886003 | Elite Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 2105 Franklin Ave, Waco, TX 76701 | 2006-01-24 |
| 1477821593 | Michelle Elizabeth Girard | Speech-Language Pathologist | 900 Washington Ave, Waco, TX 76701 | 2011-12-03 |
| 1871781302 | Robert Craig Rainey | Family Medicine | 1226 Washington Ave, Waco, TX 76701 | 2007-10-10 |
| 1730478777 | Garret Pool | Family Medicine | 600 Franklin Ave, Suite B-c, Waco, TX 76701-0002 | 2011-03-30 |
| 1023379104 | Lianda Mirella Martinez | Family Medicine | 600 Franklin Ave, Suite B-c, Waco, TX 76701-0002 | 2012-06-05 |
| 1508155128 | A&b Care Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2029 Washington Ave, Waco, TX 76701-1014 | 2011-04-04 |
| Find all providers in zip 76701 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979401 | Ana Maria Matei | Counselor | 6515 Sanger Ave Ste 21, Waco, TX 76710-7806 | 2020-07-16 |
| 1649892423 | Miriam Paiva Pahim Karkle | Counselor | 2500 Colcord Ave, Waco, TX 76707-1911 | 2020-05-14 |
| 1326670993 | Courtney Coker | Counselor | 11947 Gholson Rd, Waco, TX 76705-5604 | 2020-02-11 |
| 1356973689 | Anna Lee Reynolds | Counselor | 4144 Riata Ranch Rd, Waco, TX 76705-3810 | 2020-02-05 |
| 1205481207 | Jennifer Nivin Williamson | Counselor | 1205 Thistle Park, Waco, TX 76706-7292 | 2019-08-06 |
| 1295292217 | Colby J Walters | Counselor | 3306 Cumberland Ave, Waco, TX 76707-1225 | 2019-02-26 |
| 1659878601 | Allison M Cornell | Counselor | 3233 Cole Ave, Waco, TX 76707-2536 | 2018-04-06 |
| 1700398187 | Sarah Thomas | Counselor | 3221 Franklin Ave Ste 302, Waco, TX 76710-7360 | 2017-10-25 |
| 1598295636 | Justine Lowrey | Counselor | 7111 Bosque Blvd Ste 102, Waco, TX 76710-4070 | 2017-06-12 |
| 1972039006 | Kate Ko | Counselor | 4555 Lake Shore Dr Ste B, Waco, TX 76710-1814 | 2017-05-10 |
| Find all providers in WACO | ||||
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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.