NICOLE CLARK (NPI# 1801404025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801404025 |
| Entity Type | Individual |
| Full Name | NICOLE CLARK |
| Practice Address |
311 Mcbee St Lincolnton NC 28092-2818 |
| Mailing Address |
9703 Grove Crest Ln Apt 1623 Charlotte NC 28262-7480 |
| Practice Telephone | 7044660162 |
| Mailing Telephone | 9107066607 |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344826 | Nicole Clark | Home Health Aide | 1024 E 26th Ave, Columbus, OH 43211-2127 | 2020-10-26 |
| 1386106375 | Nicole Clark | Prosthetist | 100 N Burke Ave, Long Beach, MS 39560-4605 | 2019-04-01 |
| 1023513637 | Nicole Elizabeth Clark | Counselor | 3650 Ne Mallory Ave Apt 309, Portland, OR 97212-3086 | 2018-03-26 |
| 1619486834 | Nicole Clark | Registered Nurse | N4093 Keehn Rd, Winter, WI 54896-7312 | 2017-09-20 |
| 1285182022 | Nicole Michelle Clark | Social Worker | 1349 East Stroop Road, Dayton, OH 45429-4925 | 2016-09-21 |
| 1871968768 | Nicole Clark | Specialist/Technologist | 332 Wilson Dr, Bloomfield, IN 47424-1054 | 2015-12-03 |
| 1598165144 | Nicole Janine Clark | Behavioral Analyst | 1787 Village Ln N, Wantagh, NY 11793-3228 | 2014-09-02 |
| 1841609484 | Nicole Tm Clark | Emergency Medicine | 267 Ocean Ave, Portland, ME 04103-5707 | 2014-08-07 |
| 1851445670 | Nicole Ann Clark | Social Worker | 2051 S State St, Ann Arbor, MI 48104-4607 | 2007-01-22 |
| 1982767604 | Nicole Christine Clark | Licensed Practical Nurse | 241 Lorraine Ave, Syracuse, NY 13210-3229 | 2006-12-18 |
| Street Address |
311 MCBEE ST |
| City | LINCOLNTON |
| State | NC |
| Zip Code | 28092-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457414054 | Michael Jerome Reel | Counselor | 311 Mcbee St, Lincolnton, NC 28092 | 2006-12-18 |
| 1982214615 | Bernita Vereen | Nurse Practitioner | 311 Mcbee St, Lincolnton, NC 28092-2818 | 2020-08-06 |
| 1497304851 | Telisha Seagle | Counselor | 311 Mcbee St, Lincolnton, NC 28092-2818 | 2019-09-09 |
| 1922652742 | Mackenzie Leigh Everett | Social Worker | 311 Mcbee St, Lincolnton, NC 28092-2818 | 2019-07-30 |
| 1811467277 | Melissa Ann Morrison | Counselor | 311 Mcbee St, Lincolnton, NC 28092-2818 | 2018-11-28 |
| 1124517651 | Roberta Robb Mason | Counselor | 311 Mcbee St, Lincolnton, NC 28092-2818 | 2018-05-10 |
| 1053819805 | Heather Burns Mattison | Counselor | 311 Mcbee St, Lincolnton, NC 28092-2818 | 2018-01-26 |
| 1558766584 | Stacey Hostetter | Social Worker | 311 Mcbee St, Lincolnton, NC 28092-2818 | 2014-11-04 |
| 1275936916 | Alexander Youth Network | Social Worker | 311 Mcbee St, Lincolnton, NC 28092-2818 | 2014-10-08 |
| 1255769618 | Monarch | Community/Behavioral Health | 311 Mcbee St, Lincolnton, NC 28092-2818 | 2013-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194373332 | Steven Garrett Werkman | Dentist | 1432 E. Main St, Lincolnton, NC 28092 | 2019-08-30 |
| 1194288746 | Karl Stanley Espanola Baquiran | Physical Therapist | 815 N. Generals Blvd, Suite D, Lincolnton, NC 28092 | 2019-04-10 |
| 1699268565 | Integrated Care of Greater Hickory, Inc | Family Medicine | 1228 N Flint St, Lincolnton, NC 28092 | 2018-06-14 |
| 1568959385 | Shalini Tailor | Dentist | 1432 E Main Street, Lincolnton, NC 28092 | 2018-04-17 |
| 1053760942 | Comprehab Inc | Clinic/Center | 18 North Generals Blvd., Lincolnton, NC 28092 | 2016-06-10 |
| 1013389816 | Joshua Tallent | Counselor | 701 S Laurel St Ste 3, Lincolnton, NC 28092 | 2015-10-20 |
| 1619352838 | Tamara Michelle Bivins Vead | Physical Therapist | 1244 North Flint St., Suite 5, Lincolnton, NC 28092 | 2015-07-29 |
| 1861802555 | Jessica Bookbinder Rhodes | Obstetrics & Gynecology | 447 Mcalister Rd Ste 3500, Lincolnton, NC 28092 | 2014-05-02 |
| 1467791186 | Kelly Louise Charles | Social Worker | 2589 E Main St Ste 102, Lincolnton, NC 28092 | 2013-02-01 |
| 1720330491 | Lincoln County | Non-emergency Medical Transport (VAN) | 1323 Gaston St, Lincolnton, NC 28092 | 2012-10-05 |
| Find all providers in zip 28092 | ||||
| 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 |
|---|---|---|---|---|
| 1215570841 | Kathryn Jennette Journigan-douglas | Social Worker | 327 N Laurel St, Lincolnton, NC 28092-2911 | 2019-10-27 |
| 1306250949 | Samuel Mitchell Rosen | Social Worker | 128 Performance Dr, Lincolnton, NC 28092-8543 | 2014-06-11 |
| 1467791186 | Kelly Louise Charles | Social Worker | 2589 E Main St Ste 102, Lincolnton, NC 28092 | 2013-02-01 |
| 1780783589 | Janet I Taylor | Social Worker | 1851 Buffalo Run, Lincolnton, NC 28092-7710 | 2006-09-21 |
| 1215965850 | Loquita Dawn Roberts | Social Worker | 1301 Springdale Park Dr, Lincolnton, NC 28092-8675 | 2006-06-30 |
| 1457354615 | Regina Bell Haynes | Social Worker | 204 E Main St, Suite F, Lincolnton, NC 28092-3356 | 2005-05-23 |
| 1184231763 | Tina N Le | Social Worker | 128 Performance Dr, Lincolnton, NC 28092-8543 | 2020-09-28 |
| 1194332296 | Mackenzie Rockett | Social Worker | 530 E Main St, Lincolnton, NC 28092-3410 | 2020-09-23 |
| 1720696784 | Anna Diggs | Social Worker | 212 Gamble Dr, Lincolnton, NC 28092-4421 | 2020-07-16 |
| 1124659297 | Rosa Perez Espinosa | Social Worker | 117 N Poplar St, Lincolnton, NC 28092-3315 | 2020-01-28 |
| Find all providers in LINCOLNTON | ||||
| City | LINCOLNTON |
| Zip Code | 28092 |
Please comment or provide details below to improve the information on NICOLE 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.