EDITH CLARK (NPI# 1730552316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730552316 |
| Entity Type | Individual |
| Full Name | EDITH CLARK |
| Practice Address |
1500 Franklin St San Francisco CA 94109-4523 |
| Practice Telephone | 4154747310 |
| Mailing Telephone | 4154747310 |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2020-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CA | Behavioral Health & Social Service Providers | |
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770559528 | Edith Clark | Podiatrist | 125 Dwyer St, Clare, MI 48617-1002 | 2006-02-23 |
| 1376632679 | Edith Mary Clark | Dietitian, Registered | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2006-10-12 |
| Street Address |
1500 FRANKLIN ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94109-4523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093880494 | Heath Allen Hodge | Counselor | 1500 Franklin St, San Francisco, CA 94109-4523 | 2006-11-21 |
| 1003424334 | Luchan Baker | Community Health Worker | 1500 Franklin St, San Francisco, CA 94109-4523 | 2020-07-22 |
| 1538787585 | Jerry Leonor | Case Manager/Care Coordinator | 1500 Franklin St, San Francisco, CA 94109-4523 | 2020-07-07 |
| 1689292633 | Randy M Carter | Community Health Worker | 1500 Franklin St, San Francisco, CA 94109-4523 | 2020-07-07 |
| 1053938159 | Alfreida Cymone Stewart | Community Health Worker | 1500 Franklin St, San Francisco, CA 94109-4523 | 2020-07-06 |
| 1861010936 | June Keegan | Community Health Worker | 1500 Franklin St, San Francisco, CA 94109-4523 | 2020-07-06 |
| 1407473705 | Joshua Harrison | Community Health Worker | 1500 Franklin St, San Francisco, CA 94109-4523 | 2020-07-02 |
| 1518597947 | Katherine Bailey Neese | Counselor | 1500 Franklin St, San Francisco, CA 94109-4523 | 2020-01-24 |
| 1225676828 | Madeleine Lauren Mandich | Marriage & Family Therapist | 1500 Franklin St, San Francisco, CA 94109-4523 | 2019-12-13 |
| 1457992638 | Courtney Perry | Student in an Organized Health Care Education/Training Program | 1500 Franklin St, San Francisco, CA 94109-4523 | 2019-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169738 | Emmapreet Bal | Social Worker | 750 Post Street, San Francisco, CA 94109 | 2020-09-21 |
| 1801414669 | Hegla Yakeline Fielding | Registered Nurse | Felton Institute, 1500 Franklin St, San Francisco, CA 94109 | 2020-07-08 |
| 1356991350 | Rachel Sit Wong | Technician | 1280 Ellis St. Apt. 12, San Francisco, CA 94109 | 2019-09-12 |
| 1396392502 | Laura Kathryn Strader | Student in an Organized Health Care Education/Training Program | Community Youth Center, 1038 Post Street, San Francisco, CA 94109 | 2019-08-22 |
| 1821650227 | Anita Kathleen O'shea | Community Health Worker | 730 Polk St 4th Floor, San Francisco, CA 94109 | 2019-07-05 |
| 1275015638 | Quenna G Lee | Occupational Therapist | 1948 California Street, San Francisco, CA 94109 | 2018-09-02 |
| 1659857340 | Kaihan Zhong | Marriage & Family Therapist | 1038 Post Street Community Youth Center, San Francisco, CA 94109 | 2018-07-16 |
| 1144716044 | Elaina Barulic | Marriage & Family Therapist | 2040 Gough St, San Francisco, CA 94109 | 2018-07-03 |
| 1447778048 | Yltze Pamela Cubas-moody | Dentist | 2107 Vanness Ave, San Francisco, CA 94109 | 2017-09-03 |
| 1063939387 | Ritu Sen | Counselor | 815 Hyde Street, Suite 100, San Francisco, CA 94109 | 2017-08-28 |
| Find all providers in zip 94109 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376045724 | Wing Shum | Peer Specialist | 3626 Balboa St, San Francisco, CA 94121-2604 | 2018-03-01 |
| 1750882437 | Eric Scott Verby | Peer Specialist | 3626 Balboa St, San Francisco, CA 94121-2604 | 2018-02-27 |
| 1356852354 | Mark James Ostergard | Peer Specialist | 1990 41st Ave, San Francisco, CA 94116-1101 | 2017-10-17 |
| 1710426754 | Lois Kincy | Peer Specialist | 3801 3rd St Ste 610, San Francisco, CA 94124-1446 | 2017-02-22 |
| 1699228825 | Cierra Norman | Peer Specialist | 1801 Vicente St, San Francisco, CA 94116-2923 | 2016-07-23 |
| 1568678175 | Judy L Crawford | Peer Specialist | 2500 18th St, San Francisco, CA 94110-2109 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
| 1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
| 1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94109 |
Please comment or provide details below to improve the information on EDITH 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.