MELISSA CLARK (NPI# 1861843328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861843328 |
| Entity Type | Individual |
| Full Name | MELISSA CLARK |
| Practice Address |
21 Seneca Dr Horseheads NY 14845-1082 |
| Practice Telephone | 6074260533 |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902336753 | Melissa Lynn Clark | Audiologist | 69 Allen St Ste 1, Rutland, VT 05701-4564 | 2017-06-14 |
| 1245764638 | Melissa Clark | Social Worker | 2906 F St, Unit 6860, Eureka, CA 95502-4101 | 2017-04-12 |
| 1982054862 | Melissa A Clark | Social Worker | 3142 W Fullerton Ave Apt 1, Chicago, IL 60647-7997 | 2016-06-21 |
| 1518236900 | Melissa Yvonne Clark | Counselor | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2011-12-14 |
| 1063799682 | Melissa Newkam Clark | Occupational Therapist | 5745 Old Winder Hwy Ste C, Braselton, GA 30517-1637 | 2011-11-10 |
| 1114160199 | Melissa Ann Clark | Licensed Practical Nurse | 113 Cheney St, Syracuse, NY 13207 | 2009-04-07 |
| 1902084858 | Melissa Clark | Registered Nurse | 3251 West 9th Street, Waterloo, IA 50702 | 2008-02-02 |
| 1447462189 | Melissa Kipp Clark | Audiologist | 5304 Manatee Ave W, Bradenton, FL 34209-3743 | 2007-05-04 |
| 1548398506 | Melissa Darlene Clark | Licensed Practical Nurse | 105 Waverly Plz, Waverly, TN 37185-1531 | 2007-03-01 |
| 1760546428 | Melissa Ann Clark | Speech-Language Pathologist | 520 Grange Rd, Cave City, AR 72521 | 2006-12-20 |
| Street Address |
21 SENECA DR |
| City | HORSEHEADS |
| State | NY |
| Zip Code | 14845-1082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144883919 | Sarika Pandharinath Ballari | Student in an Organized Health Care Education/Training Program | 342 Wexford Lane, Horseheads, NY 14845 | 2019-04-17 |
| 1679091227 | J Pain & Spine Care | Neurological Surgery | 217 Old Ithaca Rd, Horseheads, NY 14845 | 2017-09-05 |
| 1477077683 | David Allan Moore | Taxi | 3159 Lake Road, Horseheads, NY 14845 | 2017-07-29 |
| 1154877702 | Barnes Chiropractic, Pllc | Chiropractor | 301 W. Broad St., Horseheads, NY 14845 | 2016-09-01 |
| 1871048538 | Jeanette Marie Walrath | Nurse Practitioner | 3344 Chambers Road, Suite 200, Horseheads, NY 14845 | 2016-08-23 |
| 1861820565 | Susan Elaine Sager | Registered Nurse | 950 Sing Sing Road, Horseheads Middle School, Horseheads, NY 14845 | 2013-10-16 |
| 1083963599 | Rachael Kristen Burke | Licensed Practical Nurse | 722 Taylor Rd, Horseheads, NY 14845 | 2012-08-30 |
| 1386910990 | Angela Christina Bahlatzis | Physician Assistant | 309 Scenic View, Horseheads, NY 14845 | 2012-03-28 |
| 1316214398 | Carol Callahan | Licensed Practical Nurse | 401 Fletcher St., Horseheads, NY 14845 | 2011-11-19 |
| 1194020255 | Jean M Sheahan | Occupational Therapist | One Raider Lane, Horseheads, NY 14845 | 2011-01-21 |
| Find all providers in zip 14845 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255220 | Nelcy M Garcia De Leon | Case Manager/Care Coordinator | 11 Thamsen Dr, Stony Point, NY 10980-1054 | 2020-11-06 |
| 1003416769 | Mashhura Rofieva | Case Manager/Care Coordinator | 1733 Sheepshead Bay Rd Ste 16, Brooklyn, NY 11235-3743 | 2020-10-30 |
| 1285234369 | David Olmedo | Case Manager/Care Coordinator | 3192 Rawlins Ave, Bronx, NY 10465-1340 | 2020-10-28 |
| 1144829326 | Perel Langsam | Case Manager/Care Coordinator | 14 Jeffrey Pl, Monsey, NY 10952-5702 | 2020-10-20 |
| 1609474295 | Akyra M. Green | Case Manager/Care Coordinator | 11 Dobson Ave, Merrick, NY 11566-4127 | 2020-10-15 |
| 1578161162 | Elizabeth Anna Rubin | Case Manager/Care Coordinator | 3513 Broadway Apt 2l, Astoria, NY 11106-1162 | 2020-10-15 |
| 1033717855 | Sarah Bruck | Case Manager/Care Coordinator | 14 Melnick Dr, Monsey, NY 10952-3328 | 2020-10-14 |
| 1831797091 | Yuliya Levakova | Case Manager/Care Coordinator | 146 Macfarland Ave, Staten Island, NY 10305-4448 | 2020-10-10 |
| 1861009383 | Faith Gibbs | Case Manager/Care Coordinator | 13038 224th St, Laurelton, NY 11413-1244 | 2020-09-29 |
| 1316554074 | Sherry Ann Brion | Case Manager/Care Coordinator | 126 W Chemung St Ste 103, Painted Post, NY 14870-1300 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | HORSEHEADS |
| Zip Code | 14845 |
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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.