ERIC J CLARK


Address: 2640 Breslauer Way, Redding, CA 96001-4246
Phone: 5302255200

ERIC J CLARK (NPI# 1891079620) 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) 1891079620
Entity Type Individual
Full Name ERIC J CLARK
Practice Address 2640 Breslauer Way
Redding
CA 96001-4246
Practice Telephone 5302255200
Mailing Telephone 5302255200
Enumeration Date 2011-09-28
Last Update Date 2011-09-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172V00000X Community Health Worker Other Service Providers

Other Providers ERIC CLARK

NPI Name Taxonomy Address Enumeration
1457917767 Eric Clark Dentist 2597 Schoenersville Rd # A&301b, Bethlehem, PA 18017-7325 2019-05-13
1558429241 Eric Walter Clark Family Medicine Mtsu Student Health, 1500 Greenland Ave Box 237, Murfreesboro, TN 37132-0001 2006-12-05
1780751453 Eric M Clark Chiropractor 500 San Juan St, Trinidad, CO 81082-2517 2006-11-29
1679173710 Eric Deon Clark Counselor 433 Turk St, San Francisco, CA 94102-3329 2020-10-28
1013553494 Eric Christopher Clark Registered Nurse 1211 Medical Center Dr, Nashville, TN 37232-0004 2019-11-21
1043777204 Eric Clark Social Worker 2711 Colonial Dr, Columbia, SC 29203-6818 2019-02-25
1740752260 Eric Delancey Clark Social Worker 12 Southern Ave, Boston, MA 02124-2012 2018-12-21
1912496282 Eric B Clark Jr. Chiropractor 10725 Abercorn St Apt 143, Savannah, GA 31419-1441 2018-05-02
1508370610 Eric Robert Clark Social Worker 1131 Broadway St, Buffalo, NY 14212-1501 2017-11-28
1588194583 Eric Vinceson Clark Sr. Counselor 404 Hearne Ave, Shreveport, LA 71103-2022 2017-06-13

Office Location

Street Address 2640 BRESLAUER WAY
City REDDING
State CA
Zip Code 96001-4246

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881692390 County of Shasta Community/Behavioral Health 2640 Breslauer Way, Redding, CA 96001-4246 2005-07-08
1962018416 Jacob Nathaniel Mccoard Case Manager/Care Coordinator 2640 Breslauer Way, Redding, CA 96001-4246 2020-09-21
1871109322 Lovely Lobo Registered Nurse 2640 Breslauer Way, Redding, CA 96001-4246 2020-09-21
1477167138 Shelly Bennett Case Manager/Care Coordinator 2640 Breslauer Way, Redding, CA 96001-4246 2020-09-01
1033727896 Rachel Puleo-chankin Assistant Behavior Analyst 2640 Breslauer Way, Redding, CA 96001-4246 2020-07-17
1518593078 Teaanna Wood Case Manager/Care Coordinator 2640 Breslauer Way, Redding, CA 96001-4246 2020-03-17
1992331789 Juanita L Garcia Counselor 2640 Breslauer Way, Redding, CA 96001-4246 2020-03-12
1306486469 Charles Markham Case Manager/Care Coordinator 2640 Breslauer Way, Redding, CA 96001-4246 2020-01-07
1215574165 Karah Annmarie Harbuck Case Manager/Care Coordinator 2640 Breslauer Way, Redding, CA 96001-4246 2019-12-10
1437796372 Chante Charae Hopper Case Manager/Care Coordinator 2640 Breslauer Way, Redding, CA 96001-4246 2019-12-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730651266 Vanessa Louise Banda Social Worker 1544 Magnolia Avenue, Redding, CA 96001 2018-12-21
1184194672 Marie Sherrick Licensed Vocational Nurse 2030 Elreno Lane, Redding, CA 96001 2018-11-28
1699257857 Prorehab Physical Therapy and Sports Performance, Inc Physical Therapist 3673 Eureka Way, Redding, CA 96001 2018-09-05
1316456833 Jennifer Rose Goehring Counselor 1310 Continental Street, Redding, CA 96001 2017-09-27
1891224440 Audrey Cutler Social Worker 1313 Yuba St., Redding, CA 96001 2017-06-07
1184167991 Calafia Holdings LLC Skilled Nursing Facility 1836 Gold Street, Redding, CA 96001 2016-11-28
1194272369 Shasta County Clinic/Center 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 2016-09-06
1417329236 Shari Hayden Specialist/Technologist, Other 2111 Air Park Dr, Redding, CA 96001 2015-10-21
1679951982 Shasta Hearing Aids Health Maintenance Organization 900 Butte St, Redding, CA 96001 2015-05-07
1073919171 Native American Mental Health Services Corporation Psychiatry & Neurology 1742 Oregon Street, Redding, CA 96001 2014-11-17
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Taxonomy Information

Taxonomy Code 172V00000X
Grouping Other Service Providers
Classification Community Health Worker

Taxonomy Definition

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service.
Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801234026 Kathy Lynne Hawk Community Health Worker 2051 Hilltop Dr A-13, Redding, CA 96002 2013-06-10
1720621949 Eletra Veronica Monna Community Health Worker 1506 Market St, Redding, CA 96001-1023 2019-10-21
1326401795 Dasha Marie Lindberg Community Health Worker 2640 Breslauer Way, Redding, CA 96001-4246 2016-04-01
1417314436 Lisa Holt Community Health Worker 1810 Market St, Redding, CA 96001-1930 2016-01-21
1780067793 Xochitl Cepeda Community Health Worker 1506 Market St, Redding, CA 96001-1023 2015-07-08
1063813822 Michael R Conti Community Health Worker 2640 Breslauer Way, Redding, CA 96001-4246 2014-09-11
1659602357 San Torn Saelee Community Health Worker 2640 Breslauer Way, Redding, CA 96001-4246 2010-01-19
1245401132 Renee Turner Kimbrell Community Health Worker 2640 Breslauer Way, Redding, CA 96001-4246 2008-03-18
1730350620 Alice Renwick Community Health Worker 2640 Breslauer Way, Redding, CA 96001-4246 2008-03-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699376400 Rosa Maria Narvaez Community Health Worker 1206 Valencia St Apt 9, San Francisco, CA 94110-3097 2020-11-06
1134720238 Hilda Rodriguez Community Health Worker 397 W 53rd St, San Bernardino, CA 92407-2612 2020-11-04
1952902132 Maria G Martinez Community Health Worker 6260 Hetty St, Fontana, CA 92336-1036 2020-11-04
1568063725 Darlene My Phan Community Health Worker 661 Clearwater Creek Dr, Newbury Park, CA 91320-4976 2020-11-04
1477150142 Jennifer Messer Community Health Worker 14344 Cajon Ave Ste 102-103, Victorville, CA 92392-4300 2020-10-06
1083224604 Vilma Rizzo Community Health Worker 1318 Gateview Ave, San Francisco, CA 94130-1418 2020-08-07
1922625912 Katriona Lorraine Reilly-amtoft Community Health Worker 513 Park Way, South San Francisco, CA 94080-2644 2020-06-25
1962024489 Chyvonne Washington Community Health Worker 2000 Alameda De Las Pulgas Ste 230, San Mateo, CA 94403-7200 2020-05-07
1326668336 Iris Teresa Merlos Community Health Worker 22046 Saticoy St, Canoga Park, CA 91303-1132 2020-04-20
1164055836 Leonardo A Camacho Community Health Worker 154 Capp St Ste A, San Francisco, CA 94110-1210 2020-02-20
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Competitor

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City REDDING
Zip Code 96001

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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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