MRS. STEPHANIE DIANE CLARK


Address: 4613 Se 41st St, Del City, OK 73115-3703
Phone: 4056357856

MRS. STEPHANIE DIANE CLARK (NPI# 1760816326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760816326
Entity Type Individual
Full Name MRS. STEPHANIE DIANE CLARK
Practice Address 4613 Se 41st St
Del City
OK 73115-3703
Practice Telephone 4056357856
Practice Fax Number 4056020802
Mailing Telephone 4056357856
Mailing Fax Number 4056020802
Enumeration Date 2013-08-30
Last Update Date 2013-08-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers STEPHANIE CLARK

NPI Name Taxonomy Address Enumeration
1922612605 Stephanie Clark Massage Therapist 15227 Spring Cor, San Antonio, TX 78247-1693 2020-09-01
1811516156 Stephanie Clark Social Worker 10185 Isle St, Parker, CO 80134-5788 2020-04-15
1306486444 Stephanie Clark Licensed Practical Nurse 636 Clay Ave Uppr, Rochester, NY 14613-1030 2020-01-07
1841681046 Stephanie Clark Technician, Other 2917 S Ash Ct, Broken Arrow, OK 74012-7804 2015-02-09
1538447560 Stephanie Renae Clark Physical Therapist 927 Battlefield Blvd N, Suite 200, Chesapeake, VA 23320-4853 2011-07-25
1932330545 Stephanie D Clark Social Worker 16581 Us Highway 17 N Ste 600, Hampstead, NC 28443-7451 2009-07-30
1487719787 Stephanie Clark Licensed Practical Nurse 55 Ramble Hill Lane, Millbrook, NY 12545 2006-12-27
1811057425 Stephanie Clark Dentist 7601 A Germantown Ave, Philadelphia, PA 19119 2006-12-12
1700864733 Stephanie Elaine Clark Audiologist 13934 N 59th Ave, Ste 120, Glendale, AZ 85306-4167 2006-01-09
1851395453 Stephanie Clark Chiropractor 3 Elmwood Rd, Hancock, NH 03449-5629 2005-06-10

Office Location

Street Address 4613 SE 41ST ST
City DEL CITY
State OK
Zip Code 73115-3703

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639776222 Physicians Choice Dialysis of Midwest City LLC Technician, Other 3200 Se 29th Street, Del City, OK 73115 2020-10-06
1942784715 Iacc/ehi Nw, LLC General Acute Care Hospital 4801 S.e. 15th Street, Del City, OK 73115 2018-09-18
1285164392 Jerry Medlock Peer Specialist 4312 Vfw Dr. Apt # 7, 4312 Vfw Dr. Apt # 7, Del City, OK 73115 2017-06-13
1326425588 Peace of Mind Pediatrics Pllc Clinic/Center 5476 Main Street, 104, Del City, OK 73115 2015-04-27
1588077044 Latasha Aujena Walker Case Management 4337 Se15th, Del City, OK 73115 2014-06-03
1164834701 Affordable Dentures-midwest City, P.C. Dentist 5301 Main Street, Suite 111, Del City, OK 73115 2014-06-02
1629488028 Nikke Sogunro Counselor 3517 Ridglea Ct., Del City, OK 73115 2014-05-07
1033539358 Shelli Holtsman Counselor 4329 Se 40th Street, Del City, OK 73115 2014-04-25
1215238514 Tonya Dailwayne Wilson Counselor 4016 S.e. 24th Street, Del City, OK 73115 2010-11-03
1851611099 Kelly Camille Kingsley Behavioral Analyst 4018 Se 11th Street, Del City, OK 73115 2010-06-10
Find all providers in zip 73115

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811503329 Shasta Davis Case Manager/Care Coordinator 4753 Del Aire Dr, Del City, OK 73115-4350 2020-09-20
1063035178 Shallette R. Starnes Case Manager/Care Coordinator 3120 Beechwood Dr, Del City, OK 73115-1316 2020-05-22
1417596404 Sara Nicole George Case Manager/Care Coordinator 5113 Se 15th St Ste A, Del City, OK 73115-3952 2019-12-23
1639722564 Blair Johnson Case Manager/Care Coordinator 4762 Woodview Dr, Del City, OK 73115-4224 2019-07-19
1649834714 Uceta Denise White Case Manager/Care Coordinator 4632 Se 24th St, Del City, OK 73115-4110 2019-04-24
1649736554 Mellisia Jones Case Manager/Care Coordinator 4725 S Bryant Ave, Del City, OK 73135-1011 2019-02-15
1346756244 Dustin W Mccaslin Case Manager/Care Coordinator 3505 Se 22nd St, Del City, OK 73115-1543 2017-12-14
1952833972 Janna Nichole Sharp Case Manager/Care Coordinator 3929 Se 27th St, Del City, OK 73115-2619 2017-03-29
1447623418 Kayla Barczak Case Manager/Care Coordinator 3945 Se 15th St Ste 107, Del City, OK 73115-2247 2015-11-12
1790156305 Troy Lee Anderson Case Manager/Care Coordinator 4313 Se 13th St, Del City, OK 73115-3021 2015-10-08
Find all providers in DEL CITY

Competitor

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City DEL CITY
Zip Code 73115

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Dataset Information

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.

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