JOHN CLARK (NPI# 1811301617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811301617 |
| Entity Type | Individual |
| Full Name | JOHN CLARK |
| Credential | LSW |
| Practice Address |
540 3rd St Idaho Falls ID 83401-3953 |
| Mailing Address |
3791 E Deer Crk Idaho Falls ID 83401-6804 |
| Practice Telephone | 2085245607 |
| Mailing Telephone | 2084031327 |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LSW1381 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245890672 | John Douglas Clark Jr. | Family Medicine | 54 Meadowbrook Cir, Brevard, NC 28712-8543 | 2019-06-18 |
| 1063072973 | John Riley Clark | Physician Assistant | 2700 Light Rd Apt 102, Oswego, IL 60543-9231 | 2019-06-13 |
| 1871909986 | John Clark | Internal Medicine | 740 Bethlehem Pike, Flourtown, PA 19031-1318 | 2014-07-09 |
| 1831444017 | John Arnot Clark | Dermatology | 1849 Mission Ridge Road, Santa Barbara, CA 93103-1857 | 2012-07-13 |
| 1427327428 | John Jacob Clark | Pharmacist | 1312 Northland Drive, Mendota Heights, MN 55120 | 2011-12-20 |
| 1841580586 | John Alan Clark | Pharmacist | 1900 Argillite Rd, Flatwoods, KY 41139-1616 | 2011-04-14 |
| 1740586932 | John Casey Clark | Occupational Therapist | 448 Lewis Hargett Cir, Suite 100, Lexington, KY 40503-3594 | 2011-02-04 |
| 1023327921 | John M Clark | Social Worker | 3528 Manchester Rd, Wantagh, NY 11793-3010 | 2010-09-27 |
| 1831417922 | John Russell Clark | Speech-Language Pathologist | 7811 Cobden Rd, Laverock, PA 19038-7257 | 2010-05-13 |
| 1518151513 | John M Clark | Physical Therapist | 1202 Se 6th St, Wagoner, OK 74467-6316 | 2007-09-02 |
| Street Address |
540 3RD ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401-3953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811023146 | Joshua D. Smith and Associates Inc | Case Management | 540 3rd St, Idaho Falls, ID 83401 | 2007-02-23 |
| 1902419658 | Holly Marie Cruz | Student in an Organized Health Care Education/Training Program | 540 3rd St, Idaho Falls, ID 83401-3953 | 2020-08-24 |
| 1801438650 | Cherla Ladawn Randall | Social Worker | 540 3rd St, Idaho Falls, ID 83401-3953 | 2019-10-14 |
| 1366964736 | Katherine Ann Rodriguez | Rehabilitation Practitioner | 540 3rd St, Idaho Falls, ID 83404 | 2017-07-07 |
| 1710391529 | Kelly Gregson | Social Worker | 540 3rd St, Idaho Falls, ID 83401-3953 | 2014-06-19 |
| 1689088593 | Clayden Porter | Social Worker | 540 3rd St, Idaho Falls, ID 83401-3953 | 2014-06-18 |
| 1649684515 | Rex Hanson | Social Worker | 540 3rd St, Idaho Falls, ID 83401-3953 | 2014-06-18 |
| 1962816942 | Patti Mathews | Social Worker | 540 3rd St, Idaho Falls, ID 83401-3953 | 2014-06-17 |
| 1144657966 | Ethan Smith | Social Worker | 540 3rd St, Idaho Falls, ID 83401-3953 | 2013-10-11 |
| 1407297062 | Teriann Parker | Social Worker | 540 3rd St, Idaho Falls, ID 83401-3953 | 2013-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437785698 | Wright Step Counseling and Recovery | Social Worker | 610 S Woodruff Ave, Idaho Falls, ID 83401-5299 | 2020-03-19 |
| 1629614987 | Wesley Robert Farrens | Social Worker | 855 N Capital Ave Ste 2, Idaho Falls, ID 83402-3405 | 2019-11-21 |
| 1881183499 | Todd Devries | Social Worker | 211 S Woodruff Ave Ste A, Idaho Falls, ID 83401-4369 | 2018-05-09 |
| 1407368616 | Jessica Owsley | Social Worker | 2275 W Broadway Ste G, Idaho Falls, ID 83402 | 2017-10-27 |
| 1609221308 | Randall M. Parker | Social Worker | 163 E Elva St, Idaho Falls, ID 83402-2233 | 2016-05-01 |
| 1134543796 | Linda B Duran Perez | Social Worker | 2100 Alan St, Idaho Falls, ID 83404-5801 | 2014-02-18 |
| 1376984054 | Grover Louis Wray | Social Worker | 2222 Teton Plz Ste 2, Idaho Falls, ID 83404-6485 | 2013-07-10 |
| 1336426741 | Greg Loveland | Social Worker | 283 West 19th Street, Idaho Falls, ID 83402 | 2011-11-14 |
| 1164709911 | Ashley Renee Johnson | Social Worker | 2275 W Broadway St Ste C, Idaho Falls, ID 83402-2902 | 2011-11-08 |
| 1609197383 | Shawn Lapray | Social Worker | 1036 E Lazy Ln, Idaho Falls, ID 83404-7790 | 2010-06-17 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
Please comment or provide details below to improve the information on JOHN 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.