JA'VON CLARK (NPI# 1891182952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891182952 |
| Entity Type | Individual |
| Full Name | JA'VON CLARK |
| Practice Address |
241 W Grant St New Castle PA 16101-2212 |
| Practice Telephone | 7246587258 |
| Practice Fax Number | 7246587664 |
| Mailing Telephone | 7246587258 |
| Mailing Fax Number | 7246587664 |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
241 W GRANT ST |
| City | NEW CASTLE |
| State | PA |
| Zip Code | 16101-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689004889 | Chris Frye Jr. | Counselor | 241 W Grant St, New Castle, PA 16101-2212 | 2013-11-25 |
| 1750711941 | Lawrence County Social Services, Inc. | Community/Behavioral Health | 241 W Grant St, New Castle, PA 16101-2212 | 2013-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699269696 | Julie Hudak | Nurse Practitioner | 2550 Ellwood Rd, New Castle, PA 16101 | 2018-06-21 |
| 1982122339 | Kayla Rose Spielvogel | Occupational Therapist | 523 N Cascade St, New Castle, PA 16101 | 2017-09-06 |
| 1932557188 | Kara Elliott | Counselor | 253 E Washington St Ste 200, New Castle, PA 16101 | 2016-05-28 |
| 1467832931 | Adam Stubert | Family Medicine | 1750 New Butler Rd Ste B, New Castle, PA 16101 | 2015-05-31 |
| 1417351412 | Coordination Care Inc. | Case Management | 125 East North St, New Castle, PA 16101 | 2014-10-20 |
| 1619386224 | Determined Will Physical Therapy LLC | Clinic/Center | 1830 Eastbrook Rd, New Castle, PA 16101 | 2014-08-07 |
| 1356757025 | Miranda Jane Appel | Dietitian, Registered | 200 South Jefferson St., New Castle, PA 16101 | 2014-07-02 |
| 1396094728 | Marcia Lynn King | Pharmacist | 31 North Jefferson St, New Castle, PA 16101 | 2012-08-30 |
| 1639454333 | Daniel Edward Rice Jr. | Registered Nurse | 508 Marlboro St, New Castle, PA 16101 | 2011-10-13 |
| 1508016957 | Discovery House-nc, LLC | Clinic/Center | 2710 W. State Street, Route 224, New Castle, PA 16101 | 2008-09-23 |
| Find all providers in zip 16101 | ||||
| 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 |
|---|---|---|---|---|
| 1083224463 | Nychole Sha-reese Wright | Case Manager/Care Coordinator | 78 Buena Vista Dr, New Castle, DE 19720-4660 | 2020-07-31 |
| 1346463080 | Human Services Center | Case Manager/Care Coordinator | 111 E Grant St, New Castle, PA 16101-3605 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245926 | Alejandro Cora IIi | Case Manager/Care Coordinator | 2310 Redwood Rd, York, PA 17408-3943 | 2020-11-02 |
| 1386250546 | Lindsay Margarida Stiem | Case Manager/Care Coordinator | 3600 Market St Fl 6, Philadelphia, PA 19104-2669 | 2020-09-22 |
| 1962018879 | Magaret Ann Booker | Case Manager/Care Coordinator | 229 Gans Hill School Rd, Smithfield, PA 15478-1327 | 2020-09-17 |
| 1285242297 | Theresa Walter | Case Manager/Care Coordinator | 1061 Livorno Dr, Oakdale, PA 15071-1795 | 2020-07-15 |
| 1023633872 | Raenita Janay Robinson | Case Manager/Care Coordinator | 3600 Market St # 6thf, Philadelphia, PA 19104-3284 | 2020-06-08 |
| 1558990069 | Human Coalition | Case Manager/Care Coordinator | 101 Drake Rd Ste A, Pittsburgh, PA 15241-1556 | 2020-04-06 |
| 1124656467 | Desiree Driver | Case Manager/Care Coordinator | 2417 Welsh Rd Ste 209, Philadelphia, PA 19114-2211 | 2020-03-31 |
| 1225662117 | Wecarefirst Support Coordination LLC | Case Manager/Care Coordinator | 108 Henderson Ave, Norwood, PA 19074-1811 | 2020-02-28 |
| 1902439185 | Jenna M Dannunzio | Case Manager/Care Coordinator | 600 N. Olive Street, Media, PA 19063-2418 | 2020-02-17 |
| 1154961571 | Corina Jones | Case Manager/Care Coordinator | 2001 Alsace Rd, Reading, PA 19604-1442 | 2020-01-14 |
| Find all providers with the same taxonomy | ||||
| City | NEW CASTLE |
| Zip Code | 16101 |
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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.