KELLY A CLARK (NPI# 1730530957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730530957 |
| Entity Type | Individual |
| Full Name | KELLY A CLARK |
| Credential | LCSW |
| Practice Address |
1430 Wilkins Cir Casper WY 82601-1336 |
| Practice Telephone | 3072379583 |
| Practice Fax Number | 3072657277 |
| Mailing Telephone | 3072379583 |
| Mailing Fax Number | 3072657277 |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-1007 | WY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861026650 | Kelly Ann Clark | Nurse Practitioner | 4590 Childrens Pl, Saint Louis, MO 63110-1020 | 2020-03-02 |
| 1013474410 | Kelly Patricia Clark | Licensed Practical Nurse | 55 Pine Dr E, Mason, MI 48854-9229 | 2019-02-22 |
| 1013497304 | Kelly Ann Clark | Case Manager/Care Coordinator | 2498 Wenona Dr, Wixom, MI 48393-2199 | 2018-08-16 |
| 1407336720 | Kelly Elizabeth Clark | Physical Medicine & Rehabilitation | 3800 Reservoir Rd., Bles Building, Ground Floor, Department of Pm&r, Washington, DC 20007-2113 | 2018-08-16 |
| 1356747448 | Kelly Clark | Dietitian, Registered | 46 Mallards Cv, Duxbury, MA 02332-3548 | 2014-11-17 |
| 1568883312 | Kelly Clark | Licensed Practical Nurse | 125 W Bartlette St, Apt. 110, Sumter, SC 29150-5173 | 2013-12-20 |
| 1306105903 | Kelly Thomas Clark | Speech-Language Pathologist | 3406 Fowler Ct, Missouri City, TX 77459-6366 | 2012-05-16 |
| 1619247509 | Kelly Jane Clark | Pharmacist | 328 Quail Walk Trl, Chapin, SC 29036-9791 | 2012-01-09 |
| 1427350461 | Kelly Darlene Clark | Chiropractor | 2425 Mahan Dr, Tallahassee, FL 32308-2301 | 2010-11-24 |
| 1538479324 | Kelly S Clark | Licensed Vocational Nurse | 15716 W High St # 597, Middlefield, OH 44062-9201 | 2010-10-14 |
| Street Address |
1430 WILKINS CIR |
| City | CASPER |
| State | WY |
| Zip Code | 82601-1336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730183617 | Central Wyoming Counseling Center | Clinic/Center | 1430 Wilkins Cir, Casper, WY 82601-1336 | 2005-06-09 |
| 1447866207 | Charles Albert Krampner | Counselor | 1430 Wilkins Cir, Casper, WY 82601-1336 | 2020-09-17 |
| 1518581065 | Amber Elese Milby | Case Manager/Care Coordinator | 1430 Wilkins Cir, Casper, WY 82601-1336 | 2020-06-01 |
| 1679197362 | Kayla D. Pivik | Social Worker | 1430 Wilkins Cir, Casper, WY 82601-1336 | 2020-05-29 |
| 1710501416 | Valerie L Brower | Social Worker | 1430 Wilkins Cir, Casper, WY 82601-1336 | 2020-05-29 |
| 1841841103 | Kirsten Roberts | Social Worker | 1430 Wilkins Cir, Casper, WY 82601-1336 | 2019-09-26 |
| 1285293688 | Heidi Jo Umberger | Counselor | 1430 Wilkins Cir, Casper, WY 82601-1336 | 2019-06-10 |
| 1346809829 | Mercedez Shay Velasquez | Social Worker | 1430 Wilkins Cir, Casper, WY 82601-1336 | 2019-06-10 |
| 1265994057 | Cassidy Taylor Dieguez | Registered Nurse | 1430 Wilkins Cir, Casper, WY 82601-1336 | 2019-04-02 |
| 1972060812 | Ann Elizabeth Hudson | Registered Nurse | 1430 Wilkins Cir, Casper, WY 82601-1336 | 2019-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472715 | Kira Christine Schaab | Student in an Organized Health Care Education/Training Program | University of Wyoming Fmrp - Casper 1522 East A Street, Casper, WY 82601 | 2020-06-23 |
| 1386111300 | Kyle David Gordon | Pharmacist | 2625 E. 2nd St., Pharmacy, Casper, WY 82601 | 2018-10-29 |
| 1225534050 | Stephanie Wendling | Social Worker | 143 S Summit St., Casper, WY 82601 | 2018-04-02 |
| 1457877987 | Deer Creek Dentistry, PC | Dentist | 514 South Durbin Street, Casper, WY 82601 | 2017-08-16 |
| 1679096382 | Rachael Kristin Clark | Case Management | 2317 Absaroka Trail, Bar Nunn, WY 82601 | 2017-07-25 |
| 1366998692 | Trenton Vonburg | Occupational Therapy Assistant | 2744 Fairdale Ave, Casper, WY 82601 | 2016-08-28 |
| 1619326618 | Traci L Aguilar | Massage Therapist | 221 S. Walcott, Casper, WY 82601 | 2016-06-09 |
| 1801256656 | Anita Walker | Speech-Language Pathologist | 851 Werner Ct., Ste. 100, Sensational Kids, Casper, WY 82601 | 2016-03-07 |
| 1528444304 | Jack Miller | Pharmacist | 1262 S. Conwell Stc, Casper, WY 82601 | 2015-08-04 |
| 1437556453 | Kelly Jo Plessman | Nurse Practitioner | 2521 East 15th Street, Casper, WY 82601 | 2014-11-20 |
| Find all providers in zip 82601 | ||||
| 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 |
|---|---|---|---|---|
| 1811594492 | Tiffany Palmer | Social Worker | 1010 E 1st St Ste A, Casper, WY 82601-2753 | 2020-10-06 |
| 1154961019 | Marilyn Sue Dymond Wagner | Social Worker | 777 Overland Trl Ste 10582601, Casper, WY 82601-1318 | 2020-01-08 |
| 1295299253 | Kimberly R Amador | Social Worker | 1840 Lakota Trl, Casper, WY 82601-7701 | 2019-01-24 |
| 1548732829 | Stacy Chamberlain | Social Worker | 145 S Durbin St Ste 307, Casper, WY 82601-2567 | 2018-12-26 |
| 1790212215 | Lyndsey Iberlin | Social Worker | 4230 Puma Dr, Casper, WY 82604-4508 | 2017-05-15 |
| 1194266833 | Tammy Lynn Michael | Social Worker | 6548 Boot Hill Rd, Casper, WY 82604-9303 | 2017-03-14 |
| 1770031551 | Lindsey N Hall | Social Worker | 535 W Yellowstone Hwy Ste 100, Casper, WY 82601-7509 | 2016-09-21 |
| 1811445505 | Lily Patton | Social Worker | 821 Derington Ave, Casper, WY 82609-2659 | 2016-09-12 |
| 1972956159 | Lindsey Strong | Social Worker | 348 S Jefferson St, Casper, WY 82601-3227 | 2016-07-22 |
| 1245601020 | Living for A Change LLC | Social Worker | 2045 Laramie Ave, Casper, WY 82604 | 2015-10-19 |
| Find all providers in CASPER | ||||
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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.