KATHLEEN M. CLARK (NPI# 1740276906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740276906 |
| Entity Type | Individual |
| Full Name | KATHLEEN M. CLARK |
| Credential | L.C.S.W. , B.C.D. |
| Practice Address |
3724 Jefferson St Suite 206 Austin TX 78731-6221 |
| Practice Telephone | 5124528948 |
| Practice Fax Number | 5124520459 |
| Mailing Telephone | 5124528948 |
| Mailing Fax Number | 5124520459 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2008-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
3218 | TX | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
S03218 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043677446 | Kathleen Clark | Specialist/Technologist | 221 Lynnhaven Dr, North Syracuse, NY 13212-2025 | 2016-01-15 |
| 1407290364 | Kathleen Mary Clark | Registered Nurse | 2800 Ashland Rd, Columbia, SC 29210-5010 | 2013-04-23 |
| 1518103886 | Kathleen Anne Clark | Internal Medicine | 5701 Time Square Blvd Ste 220, Amarillo, TX 79119-1178 | 2008-12-16 |
| 1114176328 | Kathleen Clark Clark | Speech-Language Pathologist | 2675 State Route 28, Thendara, NY 13472-0007 | 2008-09-11 |
| 1043204993 | Kathleen M Clark | Chiropractor | 209 Commercial St, Hartland, ME 04943-3710 | 2005-09-07 |
| 1174515829 | Kathleen A Clark | Physical Therapist | 2700 Keslinger Road, Suite C, Geneva, IL 60134-4645 | 2005-08-18 |
| 1174182281 | Kathleen A Clark | Nurse Practitioner | 1365 Westgate Center Dr Ste G1, Winston Salem, NC 27103-2980 | 2019-06-12 |
| 1376013235 | Kathleen Margaret Clark | Nurse Practitioner | 185 Grafton Rd, Townshend, VT 05353-0216 | 2018-12-04 |
| 1831664416 | Kathleen M Clark | Physical Therapist | 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 | 2018-10-10 |
| 1942668314 | Kathleen E Clark | Nurse Practitioner | 2111 Lexington Ave, Ste #1, Lawrenceville, IL 62439 | 2016-02-01 |
| Street Address |
3724 JEFFERSON ST SUITE 206 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-6221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194235564 | Jessi Cano | Nutritionist | 3724 Jefferson St, Austin, TX 78731-6225 | 2017-10-11 |
| 1497293021 | Jeanice Pantier-mullen | Marriage & Family Therapist | 3724 Jefferson St, Suite 207, Austin, TX 78731-6225 | 2017-02-02 |
| 1922544980 | Bridget Levien | Dietitian, Registered | 3724 Jefferson St, Austin, TX 78731-6225 | 2017-01-16 |
| 1639521842 | Molly Brake | Marriage & Family Therapist | 3724 Jefferson St, Suite 200, Austin, TX 78731-6225 | 2016-07-12 |
| 1528422466 | Melanie Burke Sanders | Dietitian, Registered | 3724 Jefferson St, Suite 104, Austin, TX 78731-6225 | 2016-04-06 |
| 1750754404 | Mindfulness & Love Psychotehrapy | Marriage & Family Therapist | 3724 Jefferson St, Suite 200, Austin, TX 78731-6225 | 2015-11-03 |
| 1336511377 | Daniel Brake | Marriage & Family Therapist | 3724 Jefferson St, Austin, TX 78731-6225 | 2015-10-29 |
| 1790157832 | Peace of Mind Therapy, Pllc | Marriage & Family Therapist | 3724 Jefferson St, Suite 206, Austin, TX 78731-6225 | 2015-10-28 |
| 1194197236 | Paul Campbell Mcginnis | Marriage & Family Therapist | 3724 Jefferson St, Suite 206, Austin, TX 78731-6225 | 2015-10-28 |
| 1235507799 | Amira Hassan PC | Dentist | 3724 Jefferson St, #100, Austin, TX 78731-6225 | 2015-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| 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 |
|---|---|---|---|---|
| 1194326926 | Janai June Bryan | Social Worker | 2312 Western Trails Blvd Ste B204, Austin, TX 78745-1677 | 2020-11-06 |
| 1902405343 | Elizabeth Arthur Thomas | Social Worker | 13128 Amarillo Ave, Austin, TX 78729-7557 | 2020-10-17 |
| 1821695610 | My-emerge,pllc | Social Worker | 13740 Research Blvd # 0-4, Austin, TX 78750-1884 | 2020-10-05 |
| 1215544630 | Emily Hackett | Social Worker | 4131 Spicewood Springs Rd Ste 3, Austin, TX 78759-8661 | 2020-09-29 |
| 1386259364 | Stefanie Nikole Burke | Social Worker | 3607 S Lamar Blvd Apt 1420, Austin, TX 78704-0391 | 2020-09-15 |
| 1326653692 | Susan Malena Gallego | Social Worker | 106 Timber Ridge Cv, Austin, TX 78733-3136 | 2020-09-13 |
| 1588275663 | Armando Sanchez | Social Worker | 3811 Run of The Oaks St Apt C, Austin, TX 78704-7843 | 2020-08-12 |
| 1861002594 | Jeneke Lesak | Social Worker | 111 Ramble Ln Ste 120-d, Austin, TX 78745-2278 | 2020-08-06 |
| 1306456264 | Abby Lubran | Social Worker | 6906 Langston Dr, Austin, TX 78723-2220 | 2020-08-05 |
| 1639788516 | James Nichols | Social Worker | 12319 Willow Wild Dr, Austin, TX 78758-2725 | 2020-07-27 |
| Find all providers in AUSTIN | ||||
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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.