ELIZABETH ANN CLARK (NPI# 1871065169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871065169 |
| Entity Type | Individual |
| Full Name | ELIZABETH ANN CLARK |
| Credential | CDPT |
| Practice Address |
8811 S Tacoma Way Ste 106 Lakewood WA 98499-4595 |
| Practice Telephone | 2533023826 |
| Mailing Telephone | 2533023826 |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2018-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
60635560 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083192959 | Elizabeth Grace Clark | Physical Therapist | 1010 Monarch St Ste 150, Lexington, KY 40513-1892 | 2018-08-02 |
| 1548755176 | Elizabeth F Clark | Psychologist | 16 Gleasondale Rd, Stow, MA 01775-1465 | 2018-06-26 |
| 1699217927 | Elizabeth Clark | Counselor | 4200 Ridgecrest Cir Ste A-6, Amarillo, TX 79109-5416 | 2016-11-17 |
| 1346604584 | Elizabeth Ann Clark | Nurse Practitioner | 32 Allen Ct, Staten Island, NY 10310-2703 | 2016-04-13 |
| 1356706543 | Elizabeth Clark | Public Health or Welfare | 295 Broadmeadow Cv, Roswell, GA 30075-2950 | 2015-12-15 |
| 1477946770 | Elizabeth Clark | Counselor | 1250 Route 171, Woodstock, CT 06281-2127 | 2015-03-10 |
| 1649674847 | Elizabeth Clark | Nurse Practitioner | 620 19th Street South 5th Floor Spain Wallace P572c, Birmingham, AL 35233-7410 | 2014-10-16 |
| 1851708325 | Elizabeth Clark | Counselor | 52 Oxford St, Somerville, MA 02143-1608 | 2014-07-16 |
| 1932527579 | Elizabeth Anne Clark | Obstetrics & Gynecology | Dept of Ob Gyn Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2014-04-01 |
| 1700187564 | Elizabeth B Clark | Physical Therapist | 155 Siemers Dr Ste 8, Cape Girardeau, MO 63701-4910 | 2010-11-10 |
| Street Address |
8811 S TACOMA WAY STE 106 |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-4595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881844512 | Pete J Blair | Social Worker | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2008-09-30 |
| 1265050249 | Hong Chul Kim | Student in an Organized Health Care Education/Training Program | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2020-07-07 |
| 1518590777 | Jung Mee Chong | Student in an Organized Health Care Education/Training Program | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2020-02-17 |
| 1740826502 | Angela Y Yoon | Psychologist | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2019-11-26 |
| 1033761408 | Han Soo Kim | Counselor | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2019-07-15 |
| 1659936482 | Jeanette Johnson | Counselor | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2019-05-07 |
| 1689153298 | Lori Mae Jones | Counselor | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2018-08-14 |
| 1558841122 | Sara Jane Guy | Counselor | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2018-08-14 |
| 1679063598 | Ji S Kim | Social Worker | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2018-05-16 |
| 1831607175 | Soochul Song | Psychologist | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2018-01-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465826 | Polly L Jason | Counselor | 11720 Edgewater Dr Apt 816, Lakewood, OH 44107-6730 | 2020-07-31 |
| 1700409661 | Mechelle Lynn Schrage | Counselor | 4928 Pearce Ave, Lakewood, CA 90712-2751 | 2020-05-26 |
| 1487276325 | Teresa Rose Alvarez | Counselor | 1215 Nj-70 W, Lakewood, NJ 08701 | 2020-05-14 |
| 1659910750 | Dorothy Chippendale | Counselor | 501 Prospect St Bldg 1a, Lakewood, NJ 08701-5026 | 2020-01-06 |
| 1215597950 | Erika Lynn Marshall | Counselor | 15316 Grant Ave Sw, Lakewood, WA 98498-2019 | 2019-06-14 |
| 1629632542 | Lyndsey Klemme | Counselor | 13701 W Jewell Ave Ste 6, Lakewood, CO 80228-4139 | 2019-04-25 |
| 1003394446 | Robert Michael Schlesinger | Counselor | 5150 Candlewood St Ste 13a, Lakewood, CA 90712 | 2018-07-28 |
| 1952890584 | Kinue Langhofer | Counselor | 5706 W Asbury Pl Apt 102, Lakewood, CO 80227-2569 | 2018-05-09 |
| 1952801854 | Carol Jeanette Counts | Counselor | 2099 Wadsworth Blvd Ste P, Lakewood, CO 80214-5733 | 2018-02-16 |
| 1518475268 | Keith Douglas White | Counselor | 12050 Lake Ave Apt 504, Lakewood, OH 44107-1872 | 2018-01-16 |
| Find all providers in LAKEWOOD | ||||
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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.